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Individual

DEBRA L CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6981 LITTLEROCK RD SW, SUITE 101, TUMWATER, WA 98512-7226
(360) 943-3633
Mailing address
6981 LITTLEROCK RD SW # WW, TUMWATER, WA 98512-7226
(360) 943-3633

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004981
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G8895283
PTAN
Enumeration date
04/20/2007
Last updated
04/04/2013
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