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Individual

MRS. CANDACE RENE' WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
23701 S 655 RD, GROVE, OK 74344-6317
(918) 787-5452
(918) 517-3265
Mailing address
1902 E ST SW, MIAMI, OK 74354-8708
(918) 961-0087

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R0107969
OK

Other

Enumeration date
07/23/2019
Last updated
07/23/2019
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