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1962615302
EDWARD PETER CAMPBELL
SANTA ROSA, CA
NPI
1962615302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-08
Last Update Date
2014-06-25
Business Address
-- EDWARD PETER CAMPBELL
1221 FARMERS LN
SANTA ROSA, CA 95405-6712
Phone number: 707-565-6945
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Mailing Address
-- EDWARD PETER CAMPBELL
1221 FARMERS LN
SANTA ROSA, CA 95405-6712
Phone number:
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