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1205314044
JUSTIN WAYNE CAMPBELL
TAMPA, FL
NPI
1205314044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT19420)
Enumeration Date
2018-08-03
Last Update Date
2018-08-03
Business Address
JUSTIN WAYNE CAMPBELL OTR/L
2403 WOODY TRACE LN
TAMPA, FL 33612-7122
Phone number: 813-325-6548
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Mailing Address
JUSTIN WAYNE CAMPBELL OTR/L
2403 WOODY TRACE LN
TAMPA, FL 33612-7122
Phone number: 813-325-6548
Copy
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