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Individual

MRS. CANDACE NICOLE FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
702 PHILLIPS LN, CORBIN, KY 40701-2144
(606) 864-2788
(606) 864-2797
Mailing address
702 PHILLIPS LN, CORBIN, KY 40701-2144
(606) 864-2788
(606) 864-2797

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02395
KY

Other

Enumeration date
09/01/2009
Last updated
09/01/2009
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