Individual
JESSICA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 N HAMILTON ST, POWELL, WY 82435-2133
(307) 202-2399
Mailing address
58 LANE 2 1/2, FRANNIE, WY 82423-2133
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
07/20/2016
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