JACK WARREN CAMPBELL

FPO, AA
NPI1780897207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-05-08
Last Update Date2008-04-20
Business Address
Mr. JACK WARREN CAMPBELL IDC
NMCB 133
FPO, AA 34099
Phone number: 228-871-2819
Mailing Address
Mr. JACK WARREN CAMPBELL IDC
1703 CHANCER LN
SLIDELL, LA 70461-4558
Phone number: 228-313-8176