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1477046027
ROY CAMPBELL
FORT BRAGG, CA
NPI
1477046027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 12967)
Enumeration Date
2018-06-08
Last Update Date
2018-06-08
Business Address
ROY CAMPBELL RDA
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-861-4088
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Mailing Address
ROY CAMPBELL RDA
205 SOUTH ST
FORT BRAGG, CA 95437-5540
Phone number: 707-861-4088
Copy
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