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Individual

CANDICE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
820 N GLOSTER ST, TUPELO, MS 38804-1949
(662) 910-8391
Mailing address
377 HUNTINGTON PL, TUPELO, MS 38801-7965
(662) 910-8391

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
512672
MS
224P00000X
Prosthetist

Other

Enumeration date
06/03/2019
Last updated
06/03/2019
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