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Individual
CANDACE CLARY MOORE
Active
Individual
CANDACE CLARY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.200544
LA
207V00000X
Obstetrics & Gynecology Physician
MD429045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01529318
—
MS
05
—
1886629
—
LA
Enumeration date
06/27/2006
Last updated
03/03/2010
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