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Dr. Candace Miklozek Mcnulty

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NPI Number Detailed Information

Provider Information:

Name: Dr. Candace Miklozek Mcnulty
Gender: F
Provider License Number If Given: 6897

NPI Information:

NPI: 1336134873
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 6/27/2008

Provider Business Mailing Address:

Address: 75 PRINGLE WAY SUITE 401
Reno, NV 89502
Phone Number: 7756888000
Fax Number: 7756888031

Provider Business Practice Location Address:

Address: 75 PRINGLE WAY SUITE 401
Reno, NV 89502
Phone Number: 7756888000
Fax Number: 7756888031

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any): 207RC0000X
State: NV

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