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1033282991
TRACY MANNERS
HAUPPAUGE, NY
NPI
1033282991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 831834)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Ms. TRACY MANNERS
1770 MOTOR PKWY
HAUPPAUGE, NY 11749-5260
Phone number: 631-434-1770
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Mailing Address
Ms. TRACY MANNERS
5 SEABROOK CT
STONY BROOK, NY 11790-3305
Phone number:
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