Individual
MAMIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E 9TH ST, PANA, IL 62557-1785
(217) 562-6246
(217) 562-6246
Mailing address
101 E 9TH ST, PANA, IL 62557-1785
(217) 562-6246
(217) 562-6246
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
160005619
IL
Other
Enumeration date
06/24/2025
Last updated
07/17/2025
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