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Individual

DENISE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
418 CROSSBOW DR, NEW STANTON, PA 15672-9485
(724) 322-1043
Mailing address
418 CROSSBOW DR, NEW STANTON, PA 15672-9485
(724) 322-1043

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
171M00000X
Case Manager/Care Coordinator
174H00000X
Health Educator
Primary

Other

Enumeration date
04/24/2017
Last updated
04/24/2017
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