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1144562620
KANDACE MARIE WALL
LEXINGTON, KY
NPI
1144562620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007996)
Enumeration Date
2013-03-21
Last Update Date
2015-02-09
Business Address
Mrs. KANDACE MARIE WALL APRN
1792 ALYSHEBA WAY SUITE 150
LEXINGTON, KY 40509-2288
Phone number: 859-335-9041
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Mailing Address
Mrs. KANDACE MARIE WALL APRN
3851 DYLAN PL
LEXINGTON, KY 40514-1062
Phone number: 606-669-8601
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