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JESSICA CAMP

Audiology Assistant >> Specialist/Technologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1083964597

Individual Registrant:
 JESSICA  CAMP 
Gender: F
Sole Proprietor

Location and contact information for practice:
16 SUMMERWOOD DR  MAGNOLIA, AR 71753-8442 US
Tel: 870-904-9408  Fax: --

Contact information for business:
16 SUMMERWOOD DR  MAGNOLIA, AR 71753-8442 US
Tel: 870-904-9408  Fax: --

Registration Information:
NPI: 1083964597
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2355A2700XSpeech, Language and Hearing Service Providers
Specialist/Technologist
Audiology Assistant
AR12-0123

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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