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Individual

MICHAEL SCOTT CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
916 RAVINE DR, FRANKLIN, IN 46131-3609
(574) 540-3655
Mailing address
707 S BOWER ST, KNOX, IN 46534-1906
(574) 540-3655

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0750-08-0724
IN

Other

Enumeration date
12/08/2022
Last updated
12/08/2022
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Product
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