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Individual
CANDICE LACOLE HOLMES
Active
Individual
CANDICE LACOLE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002069779
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002069779
—
VA
Enumeration date
12/04/2006
Last updated
07/09/2007
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