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Individual

MRS. SANDRA LEE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 966-8056
(269) 966-8593
Mailing address
300 NORTH AVE, BATTLE CREEK, MI 49017-3307
(269) 966-8056
(269) 966-8593

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
470415028
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704150528
STATE LICENSE NUMBER
MI
Enumeration date
08/12/2006
Last updated
03/30/2015
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