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1508849480
GREGORY LEE CAMPBELL
ROCKFORD, IL
NPI
1508849480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 0085001724)
Enumeration Date
2005-11-23
Last Update Date
2021-02-18
Business Address
Mr. GREGORY LEE CAMPBELL PA-C
6824 NEWBURG RD
ROCKFORD, IL 61108
Phone number: 779-696-7610
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Mailing Address
Mr. GREGORY LEE CAMPBELL PA-C
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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