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1407445059
CANDACE MARTINA HACK
MADISONVILLE, KY
NPI
1407445059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3015668)
Enumeration Date
2021-01-18
Last Update Date
2024-08-29
Business Address
CANDACE MARTINA HACK APRN
11 MCLEOD LN
MADISONVILLE, KY 42431-3650
Phone number: 270-245-2413
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Mailing Address
CANDACE MARTINA HACK APRN
11 MCLEOD LN
MADISONVILLE, KY 42431-3650
Phone number: 270-245-2413
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