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Individual

MRS. VENESSA CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
997 E MEMORIAL BLVD STE 103, LAKELAND, FL 33801-1913
(863) 874-4039
(863) 816-6963
Mailing address
997 E MEMORIAL BLVD STE 103, LAKELAND, FL 33801-1913
(863) 874-4039
(863) 816-6963

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
1315075
FL

Other

Enumeration date
02/23/2023
Last updated
02/23/2023
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