Individual
MRS. MINDY L CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1327 N 16TH AVE, DURANT, OK 74701-2134
(580) 931-9064
Mailing address
177 KERNEL LN, DURANT, OK 74701-1048
(580) 920-1589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/14/2013
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