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Individual

COLLIN ALLEN CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC,DCCM

Contact information

Practice address
76 AIRLINE RD, SOUTH DENNIS, MA 02660-2583
(508) 980-3363
Mailing address
195 CROSBY VILLAGE RD, EASTHAM, MA 02642-3121
(773) 344-1275

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000772
CT
171100000X
Acupuncturist
006198-1
NY
171100000X
Acupuncturist
198.001061
IL
171100000X
Acupuncturist
Primary
287173
MA

Other

Enumeration date
01/15/2014
Last updated
07/10/2021
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