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1033641402
TRAVIS JONATHAN CAMPBELL
ALBUQUERQUE, NM
NPI
1033641402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NM MD2019-1043)
Enumeration Date
2017-04-03
Last Update Date
2023-08-25
Business Address
TRAVIS JONATHAN CAMPBELL
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
TRAVIS JONATHAN CAMPBELL
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
Copy
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