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Individual
CANDACE CLARK
Active
Individual
CANDACE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60269049
WA
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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