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Individual

CANDICE MARIE RAMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27054804A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27054804A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
03/31/2023
Last updated
03/31/2023
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