Provider Information for 1942216544
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NANCY J CAMPBELL LISW
Sex: Female
NPI: 1942216544
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1942216544 | ||||||||
| Enumeration Date | 2006-08-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1412 WOFFORD DR LAS CRUCES, NM 88001-0501 United States Phone: 505-642-4276 | Fax:505-522-3689 | ||||||||
| Primary Practice Address | 500 SOUTH MAIN ST SUITE 430 LAS CRUCES, NM 88005-2959 United States Phone: 505-532-9050 | Fax:505-522-3689 | ||||||||
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