Henry Grady Campbell Jr R.N. C.

NPI 1396855409 - Registered Nurse - 163WA0400X

NPI Details
NPI 1396855409
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1501 SAN PEDRO DR SE
ALBUQUERQUE NM, 87108-5153, US
Phone (800) 465-8262
Fax
Business Location
864 RIMROCK DR
GALLUP NM, 87301-7347, US
Phone (505) 863-5071
Fax (505) 722-0723
Toxanomy
Taxonomy Code 163WA0400X
License State Oklahoma
License Number R 0024189
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According to our database, Mr. Henry Grady Campbell Jr R.N. C. NPI is 1396855409, taxonomy code is 163WA0400X and license number is R 0024189, license state is located at Oklahoma. Henry Grady Campbell Jr R.N. C. physically located at 1501 San Pedro Dr Se, Albuquerque NM, 87108-5153. NPI Number Henry Grady Campbell Jr R.N. C. has the Individual type.

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1396855409 NPI number is provided on an as is basis without warranty of any kind. 1396855409 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Grady Campbell Jr R.N. C. are for informational purposes only.