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Individual
MS. CANDICE CAPRI ELLIS
Active
Individual
MS. CANDICE CAPRI ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC. AC DIPLOMATE N.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0163
MA
Other
Enumeration date
12/04/2006
Last updated
11/09/2012
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