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1427459817
CANDANCE CHILDRESS
PEARL, MS
NPI
1427459817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R873292)
Enumeration Date
2014-09-04
Last Update Date
2016-10-14
Business Address
-- CANDANCE CHILDRESS Nurse Practitioner
4635 HIGHWAY 80 E
PEARL, MS 39208-4226
Phone number: 601-825-7280
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Mailing Address
-- CANDANCE CHILDRESS Nurse Practitioner
PO BOX 24116
JACKSON, MS 39225-4116
Phone number: 601-825-7280
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