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Individual

CANDACE JEWEL HARPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2523 E HUNTSVILLE RD, FAYETTEVILLE, AR 72701-7329
(479) 442-2822
(479) 444-6663
Mailing address
PO BOX 1907, FAYETTEVILLE, AR 72702-1907
(479) 442-2822
(479) 444-6663

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-262
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5A362
AR BC/BS
AR
01
P038
AR BC/BS
AR
Enumeration date
07/03/2006
Last updated
12/02/2010
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