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Individual

CANDACE ANNE EASTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3725 HORIZON DR, BARNUM, MN 55707-8883
(877) 279-5960
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 110, AUSTIN, TX 78759-7247
(877) 279-5960

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11071
MN
363LF0000X
Family Nurse Practitioner
15763-33
WI
363LF0000X
Family Nurse Practitioner
235403
AZ

Other

Enumeration date
01/01/2024
Last updated
09/04/2024
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