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Individual

MS. FAYOMA S CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6897
(860) 679-5168
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-6897
(860) 679-5168

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001261
CT
363AM0700X
Medical Physician Assistant
Primary
001261
CT

Other

Enumeration date
02/17/2006
Last updated
11/07/2022
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