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Individual

DIANE BYRD CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, FNP

Contact information

Practice address
102 REGENTS DR, TROY, MI 48084-5421
(248) 219-2509
Mailing address
102 REGENTS, TROY, MI 48084
(248) 219-2509

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704195984
MI

Other

Enumeration date
09/14/2016
Last updated
10/02/2016
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