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Individual

JESSICA CAMPOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1605 KARIS CT, HARLINGEN, TX 78550-3640
(956) 264-2136
Mailing address
1605 KARIS CT, HARLINGEN, TX 78550-3640

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
863132
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790847531
TX
Enumeration date
01/24/2020
Last updated
04/08/2020
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