Individual
MARY ELLEN CAMPOBASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNS-BC
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8000
Mailing address
30680 BAINBRIDGE RD, SOLON, OH 44139-2282
(440) 542-5023
(440) 542-5029
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
COA02675-NS
OH
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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