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CANDACE PAIGE NEELEY
>> Community Health Worker >> Other Service ProvidersRegistrant NPI Number: 1831640564
Individual Registrant: CANDACE PAIGE NEELEY
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
302 E. 6TH STREET WELEETKA, OK 74880-0278 US
Tel: 405-786-2203 Fax: 405-786-2625
Tel: 405-786-2203 Fax: 405-786-2625
Contact information for business:
PO BOX 278 WELEETKA, OK 74880-0278 US
Tel: 405-786-2203 Fax: 405-786-2625
Tel: 405-786-2203 Fax: 405-786-2625
Registration Information:
NPI: 1831640564
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172V00000X | Other Service Providers Community Health Worker | OK |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
