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1023512332
TRACY VANDEWATER
NEW ORLEANS, LA
NPI
1023512332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
TRACY VANDEWATER MD
533 BOLIVAR ST STE 566
NEW ORLEANS, LA 70112-1349
Phone number: 504-568-4786
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Mailing Address
TRACY VANDEWATER MD
533 BOLIVAR ST STE 566
NEW ORLEANS, LA 70112-1349
Phone number: 504-568-4460
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