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1730731043
CANDICE H WILD
COVINGTON, LA
NPI
1730731043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 204744)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
CANDICE H WILD FNP
1970 N HIGHWAY 190
COVINGTON, LA 70433-5364
Phone number: 985-892-5355
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Mailing Address
CANDICE H WILD FNP
PO BOX 3370
COVINGTON, LA 70434-3370
Phone number: 985-400-5988
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