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Individual

DEAN PRESTON CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
5622 W STATE ST, BOISE, ID 83703-3010
(208) 616-1040
Mailing address
5622 W STATE ST, BOISE, ID 83703-3010
(208) 616-1040

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-332
ID

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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