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CANDICE YOUNG

Attendant Care Provider >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1639536105

Individual Registrant:
 CANDICE  YOUNG 
Gender: F
Sole Proprietor

Location and contact information for practice:
517 PINE  WINTHROP, AR 71866 US
Tel: 513-282-5299  Fax: --

Contact information for business:
PO BOX 16  WINTHROP, AR 71866-0016 US
Tel: 513-282-5299  Fax: --

Registration Information:
NPI: 1639536105
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747A0650XNursing Service Related Providers
Technician
Attendant Care Provider
AR

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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