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1295934115
CANDACE WORSHAM
GULFPORT, MS
NPI
1295934115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 21172)
Enumeration Date
2007-07-11
Last Update Date
2010-08-04
Business Address
-- CANDACE WORSHAM D.O.
1924 30TH AVE
GULFPORT, MS 39501-4534
Phone number: 228-863-7117
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Mailing Address
-- CANDACE WORSHAM D.O.
1924 30TH AVE
GULFPORT, MS 39501-4534
Phone number: 228-863-7117
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