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Individual

AMBER D VANCAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8-B VETERANS BLVD, ACL IHS, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-5828
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-5828

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
05001351
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H3451
NM
Enumeration date
05/29/2013
Last updated
05/29/2013
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