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1376976530
CANDICE J HOLDER
ROCKFORD, IL
NPI
1376976530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209018392)
Enumeration Date
2013-08-12
Last Update Date
2023-07-26
Business Address
CANDICE J HOLDER PMHNP
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107-1481
Phone number: 815-395-1500
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Mailing Address
CANDICE J HOLDER PMHNP
1639 N ALPINE RD STE 260
ROCKFORD, IL 61107-1481
Phone number: 815-395-1500
Copy
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