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1588634273
CANDACE MOAK
RUSTON, LA
NPI
1588634273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 14480R)
Enumeration Date
2006-01-25
Last Update Date
2009-10-15
Business Address
MRS. CANDACE MOAK M.D.
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
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Mailing Address
MRS. CANDACE MOAK M.D.
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
Copy
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