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1245678242
CANDACE JILL WISE
FRONT ROYAL, VA
NPI
1245678242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0102204074)
Enumeration Date
2013-06-12
Last Update Date
2023-05-01
Business Address
CANDACE JILL WISE D.O.
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630-6480
Phone number: 540-631-3700
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Mailing Address
CANDACE JILL WISE D.O.
2000 HEALTH PARK DR FL HP2
BRENTWOOD, TN 37027-4525
Phone number: 615-373-7600
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