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Mrs. Candis Kay Sollars

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Candis Kay Sollars
Gender: F
Provider License Number If Given: L3219

NPI Information:

NPI: 1922007434
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 3/10/2011

Provider Business Mailing Address:

Address: 1 12TH ST SUITE #4
Astoria, OR 97103
Phone Number: 5033253623
Fax Number: 5033254986

Provider Business Practice Location Address:

Address: 1 12TH ST SUITE #4
Astoria, OR 97103
Phone Number: 5033253623
Fax Number: 5033254986

Provider Taxonomy:

Primary: 1041C0700X
Secondary (if any):
State: OR

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