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Individual

ALEXIS CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5251 JAMES AVE N, MINNEAPOLIS, MN 55430-3445
(952) 818-6099
Mailing address
5251 JAMES AVE N, MINNEAPOLIS, MN 55430-3445
(952) 818-6099

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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