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Individual
CANDICE J. M. OSENGA
Active
Individual
CANDICE J. M. OSENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-001150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207414
MEDICARE GROUP NO.
—
Enumeration date
07/16/2006
Last updated
09/12/2012
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