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1134902398
CANDICE FASNACHT
LINCOLN, NE
NPI
1134902398
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Former Name
CANDICE BURNETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
CANDICE FASNACHT
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
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Mailing Address
CANDICE FASNACHT
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
Copy
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