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1154054492
CANDICE MARIE MIDKIFF
BOSSIER CITY, LA
NPI
1154054492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 226511)
Enumeration Date
2022-07-05
Last Update Date
2022-07-13
Business Address
CANDICE MARIE MIDKIFF FNP-C
2539 VIKING DR STE 100
BOSSIER CITY, LA 71111-1611
Phone number: 318-747-8105
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Mailing Address
CANDICE MARIE MIDKIFF FNP-C
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111-2165
Phone number: 318-747-8100
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