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Individual

CANDACE KUBEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
401 N 17TH ST, SUITE 211, ALLENTOWN, PA 18104-5034
(610) 437-0711
(610) 437-9265
Mailing address
401 N 17TH ST, SUITE 211, ALLENTOWN, PA 18104-5034
(610) 437-0711
(610) 437-9265

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP006585B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07680196
PA
Enumeration date
04/19/2006
Last updated
01/03/2008
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