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Individual
CANDACE WIGHT
Active
Individual
CANDACE WIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103541
MI
302R00000X
Health Maintenance Organization
—
NULL
Other
Enumeration date
04/13/2016
Last updated
11/22/2022
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