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Individual

MR. LARAMIE LOGAN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
300 W RANDOLPH AVE STE A, ENID, OK 73701-3866
(580) 774-9261
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/10/2010
Last updated
12/10/2010
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