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Anthony Vincent Campbell

Student in an Organized Health Care Education/Training Program in Boynton Beach, FL. Individual provider (NPI-1).

NPI number1164052684
StatusActive
Last updated in NPPESJan 23, 2020

Details

NPI
1164052684
Entity type
Individual (NPI-1)
Name
Mr. Anthony Vincent Campbell
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 23, 2020
Certification date
Jan 23, 2020
Last updated
Jan 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramS12684ALYes

Practice location

6200 Lansdowne Cir
Boynton Beach, FL 33472-5105

Phone 561-324-9164

Mailing address

6200 Lansdowne Cir
Boynton Beach, FL 33472-5105

Phone 561-324-9164

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