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1407248537
CANDACE ATISHA
LIVONIA, MI
NPI
1407248537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: MI 5601007299)
Enumeration Date
2015-02-26
Last Update Date
2015-03-13
Business Address
CANDACE ATISHA PA-C
37669 PEMBROKE AVE
LIVONIA, MI 48152-1050
Phone number: 734-793-6500
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Mailing Address
CANDACE ATISHA PA-C
37669 PEMBROKE AVE
LIVONIA, MI 48152-1050
Phone number: 734-793-6500
Copy
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