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1962063636
CANDICE NICOLE TATE
HAMMOND, LA
NPI
1962063636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-24
Last Update Date
2019-07-31
Business Address
CANDICE NICOLE TATE LPN
44617 S AIRPORT RD
HAMMOND, LA 70403-0311
Phone number: 985-429-7611
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Mailing Address
CANDICE NICOLE TATE LPN
13308 MOSS POINT DR APT A
HAMMOND, LA 70401-6448
Phone number: 985-215-1365
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