Individual
DEBRA D CAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32575 GREENWOOD DR, AVON LAKE, OH 44012-1623
(216) 466-1064
Mailing address
32575 GREENWOOD DR, AVON LAKE, OH 44012-1623
(216) 466-1064
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2710132
—
OH
Enumeration date
02/23/2007
Last updated
07/08/2007
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