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Candace Van Dine
NPI 1215642848 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1017 W Fertitta Blvd
Leesville, LA 71446 - Phone
- (337) 392-0026
- Organisation at this address
- Vo Medical Clinic A Professional Medical Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2100 Maplewood Dr, Sulphur, LA
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana