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1346910882
CANDACE L GREEN
AUGUSTA, GA
NPI
1346910882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: L-303750)
Enumeration Date
2021-09-16
Last Update Date
2021-09-29
Business Address
CANDACE L GREEN IBCLC
1245 AUGUSTA WEST PKWY
AUGUSTA, GA 30909-1807
Phone number: 706-868-0389
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Mailing Address
CANDACE L GREEN IBCLC
175 EVERGREEN DR
MARTINEZ, GA 30907-1391
Phone number: 706-814-8083
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