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RICHARD LEE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
HWY 160 MP 394.3, KAYENTA, AZ 86033-0368
(928) 697-4100
(928) 697-4029
Mailing address
3433 ORO GRANDE BLVD UNIT 101, LAKE HAVASU CITY, AZ 86406-7273
(928) 230-9835

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201707038RN
OR
163W00000X
Registered Nurse
Primary
RN194044
AZ

Other

Enumeration date
03/08/2019
Last updated
03/08/2019
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