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Individual

BLINDA JEAN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
1324 SUNNYBROOK TER, CHESAPEAKE, VA 23321-3126
(757) 722-9961

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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