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1861969685
JOHN WADE CANDLER
EAST HADDAM, CT
NPI
1861969685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
243U00000X Radiology Practitioner Assistant
(Licence: 294258)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
JOHN WADE CANDLER RRA
64 WICKHAM RD
EAST HADDAM, CT 06423-1203
Phone number: 860-917-5863
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Mailing Address
JOHN WADE CANDLER RRA
64 WICKHAM RD
EAST HADDAM, CT 06423-1203
Phone number: 860-917-5863
Copy