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1962004515
MISTY CAMPBELL
POWDER SPRINGS, GA
NPI
1962004515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN078372)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
MISTY CAMPBELL LPN
5154 BROWN LEAF WAY
POWDER SPRINGS, GA 30127-8910
Phone number: 678-779-0431
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Mailing Address
MISTY CAMPBELL LPN
5154 BROWN LEAF WAY
POWDER SPRINGS, GA 30127-8910
Phone number: 678-779-0431
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