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Individual

DR. CANDACE LOUISE HAUGTVEDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH, MS, PHD

Contact information

Practice address
321 US-10 WEST, DETROIT LAKES, MN 56501
(218) 847-9248
Mailing address
321 HIGHWAY 10 W, DETROIT LAKES, MN 56501-3046
(218) 847-9248

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03317263
OH
183500000X
Pharmacist
Primary
119986
MN
183500000X
Pharmacist
4018
ND
183500000X
Pharmacist
40992
MO

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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