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CANDICE BAINEY

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1902268147

Individual Registrant:
 CANDICE  BAINEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
13395 N MARANA MAIN ST  MARANA, AZ 85653-7008 US
Tel: 520-682-4111  Fax: 520-682-3817

Contact information for business:
PO BOX 188  MARANA, AZ 85653-0188 US
Tel: 520-682-4111  Fax: 520-682-3817

Registration Information:
NPI: 1902268147
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AZ58344

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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