Individual
MRS. MARY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2302 W. 28TH, SUITE A, PINE BLUFF, AR 71603
(870) 536-1400
(870) 536-5196
Mailing address
2739 HWY 365 NORTH, REDFIELD, AR 72132
(870) 550-3907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L33861
AR
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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