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1194330233
CANDACE D YOUNGER
BENTON, IL
NPI
1194330233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.129145)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
CANDACE D YOUNGER LPN
507 LICKLITER ST
BENTON, IL 62812-2219
Phone number: 618-513-3815
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Mailing Address
CANDACE D YOUNGER LPN
507 LICKLITER ST
BENTON, IL 62812-2219
Phone number: 618-513-3815
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