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Individual

KEVIN PATRICK CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAMTC

Contact information

Practice address
3637 GRAND AVE STE G, OAKLAND, CA 94610-2029
(302) 339-2584
Mailing address
510 NORTHERN AVE, MILL VALLEY, CA 94941-3781
(302) 339-2584

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73204
CA

Other

Enumeration date
07/08/2024
Last updated
07/08/2024
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