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1609288448
KANDICE E JOHNSON
FAYETTEVILLE, AR
NPI
1609288448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse Diabetes Educator
(Licence: AR R014870)
Enumeration Date
2014-05-28
Last Update Date
2017-10-10
Business Address
KANDICE E JOHNSON RN, CDE
3 EAST APPLEBY RD. SUITE 202
FAYETTEVILLE, AR 72703-4424
Phone number: 479-404-1140
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Mailing Address
KANDICE E JOHNSON RN, CDE
PO BOX 550
LOWELL, AR 72745
Phone number: 479-463-7775
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