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Mack Lee Campbell
Driver in Poplar Bluff, Missouri
NPI 1235764234

Mack Lee Campbell is a Driver based in Poplar Bluff, MO. Mack Lee Campbell practices in Poplar Bluff, MO. The NPI Number for Mack Lee Campbell is 1235764234 and holds a License No. (Missouri).

The current practice location address for Mack Lee Campbell is 3634 Marble Hill Rd, Poplar Bluff, MO and can be reached out via phone at 573-718-0971.

Location: 3634 Marble Hill Rd, Poplar Bluff, MO, 63901-2228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235764234
Provider Name
Mack Lee Campbell
Credential
Provider Entity Type
Individual
Gender
Male
Address
3634 Marble Hill Rd, Poplar Bluff, MO, 63901-2228
Phone Number
573-718-0971
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3634 Marble Hill Rd
City
Poplar Bluff
State
Missouri
Zip
63901-2228
Phone Number
573-718-0971
Fax Number
person
Provider Business Mailing Address Details
Address
3634 Marble Hill Rd
City
Poplar Bluff
State
Missouri
Zip
63901-2228
Phone Number
573-718-0971
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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