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1063986362
CANDICE MAE LANCASTER
ANTHEM, AZ
NPI
1063986362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TN 11969)
Enumeration Date
2019-01-20
Last Update Date
2019-01-20
Business Address
CANDICE MAE LANCASTER DPT
41818 N VENTURE DR STE 120
ANTHEM, AZ 85086-3189
Phone number: 623-742-7338
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Mailing Address
CANDICE MAE LANCASTER DPT
23602 N 83RD ST
SCOTTSDALE, AZ 85255-3533
Phone number: 662-769-2269
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