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Individual

KELLY D CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
623 BERNARD ST, WATERTOWN, WI 53094-6208
(920) 245-5246
Mailing address
610 S 9TH ST, WATERTOWN, WI 53094-4824
(262) 894-4765

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17071-146
WI

Other

Enumeration date
08/31/2023
Last updated
08/31/2023
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