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Individual

VERSHAUNDA CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1124 W WASHINGTON ST, WEST BEND, WI 53095-2434
(262) 239-1138
Mailing address
6415 W HAMPTON AVE, MILWAUKEE, WI 53218-4926
(602) 418-7547

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
06/04/2022
Last updated
06/04/2022
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