Individual
CAROL CANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 EAST MAPLE STREET, MAUCOUPIN COUNTY MAPLE STREET CLINIC, GILLESPIE, IL 62033
(217) 839-4100
Mailing address
PO BOX 555, CASEYVILLE, IL 62232-0555
(618) 741-4454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.012741
IL
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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