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1407442197
CANDICE CHARLENE WALLLACE
CALHOUN, GA
NPI
1407442197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
CANDICE CHARLENE WALLLACE CSFA
1035 RED BUD RD NE
CALHOUN, GA 30701-6010
Phone number: 706-602-7800
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Mailing Address
CANDICE CHARLENE WALLLACE CSFA
210 GWEN DR
RINGGOLD, GA 30736-6120
Phone number: 423-762-7603
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