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Individual

MR. JOHN A CAMBEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 852-0435
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 852-0435

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2014007
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
113047
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
10/13/2017
Last updated
03/17/2018
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