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1023596657
TRACY LONG
DAYTONA BEACH, FL
NPI
1023596657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: FL 9483061)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
TRACY LONG RN, BSN
259 BILL FRANCE BLVD
DAYTONA BEACH, FL 32114-1316
Phone number: 386-868-1992
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Mailing Address
TRACY LONG RN, BSN
259 BILL FRANCE BLVD
DAYTONA BEACH, FL 32114-1316
Phone number: 386-868-1992
Copy
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