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Individual
CANDANCE LEAPHART-ST CLOUD
Active
Individual
CANDANCE LEAPHART-ST CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036113883
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
DO1945
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036113883
STATE LICENSE
IL
05
—
036113883
—
IL
05
—
1700836905
—
NV
05
—
1700836905
—
WI
Enumeration date
05/11/2006
Last updated
02/05/2025
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