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Individual

JANE ANN CAMPBELL-VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
163 GORE ST, CAMBRIDGE, MA 02141-1119
(617) 575-5850
Mailing address
43 GEORGE ST, WATERTOWN, MA 02472-3343
(617) 981-5420

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN201660
MA
163WC1500X
Community Health Registered Nurse
Primary
RN201662
MA

Other

Enumeration date
07/11/2018
Last updated
07/11/2018
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