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Organization

CAMPBELLRDNUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA CAMPBELL MS, RDN,LD (CEO)
(662) 292-1545
Entity
Organization

Contact information

Practice address
404 KNOX CT, CANTON, MS 39046-7047
(662) 212-2219
Mailing address
404 KNOX CT, CANTON, MS 39046-7047
(662) 212-2219

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
03/18/2021
Last updated
03/18/2021
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