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1942085220
CANDACE ISABEL ROMAN
VALDOSTA, GA
NPI
1942085220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GU RN269971)
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
CANDACE ISABEL ROMAN
2810 N OAK ST
VALDOSTA, GA 31602-1716
Phone number: 229-259-0019
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Mailing Address
CANDACE ISABEL ROMAN
4400 IVYDALE CT
VALDOSTA, GA 31602-7632
Phone number: 229-375-6699
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