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Individual

KAYLAN ROSS CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
209 N BELLS ST, ALAMO, TN 38001-1755
(731) 696-2505
Mailing address
209 N BELLS ST, ALAMO, TN 38001-1755
(731) 696-2505

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245677
TN

Other

Enumeration date
04/18/2024
Last updated
04/18/2024
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