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1891132817
CANDICE STAPLETON PURVIS
VIDALIA, GA
NPI
1891132817
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Former Name
CANDICE GRACE STAPLETON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 006802)
Enumeration Date
2013-05-30
Last Update Date
2019-05-20
Business Address
Mrs. CANDICE STAPLETON PURVIS PA-C
303 HARRIS INDUSTRIAL BLVD STE 3
VIDALIA, GA 30474-8854
Phone number: 912-537-9355
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Mailing Address
Mrs. CANDICE STAPLETON PURVIS PA-C
303 HARRIS INDUSTRIAL BLVD STE 3
VIDALIA, GA 30474-8854
Phone number:
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