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1780897207
JACK WARREN CAMPBELL
FPO, AA
NPI
1780897207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-05-08
Last Update Date
2008-04-20
Business Address
Mr. JACK WARREN CAMPBELL IDC
NMCB 133
FPO, AA 34099
Phone number: 228-871-2819
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Mailing Address
Mr. JACK WARREN CAMPBELL IDC
1703 CHANCER LN
SLIDELL, LA 70461-4558
Phone number: 228-313-8176
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