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Individual

MR. AMOS CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
208 7TH AVE, SOUTH CHARLESTON, WV 25303-1510
(304) 414-3629
(304) 414-3633
Mailing address
208 7TH AVENUE, SOUTH CHARLESTON, WV 25303-1510
(304) 414-3629
(304) 414-3633

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LMT2006-2037
WV

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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