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1306516893
CANDICE NICOLE BLACKWOOD
DECATUR, AL
NPI
1306516893
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Former Name
CANDICE NICOLE SANDERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-156478)
Enumeration Date
2021-09-15
Last Update Date
2023-11-22
Business Address
CANDICE NICOLE BLACKWOOD FNP
2424 DANVILLE RD SW STE K
DECATUR, AL 35603-4219
Phone number: 256-309-5850
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Mailing Address
CANDICE NICOLE BLACKWOOD FNP
61 COUNTY ROAD 390
TRINITY, AL 35673-3162
Phone number: 256-345-8232
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