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1073196119
TRACY HAWSE NP LLC
GRASS VALLEY, CA
NPI
1073196119
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Entity Type
Organization
Authorized Contact
TRACY HAWSE
Owner
530-613-1284
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
TRACY HAWSE NP LLC
150 S AUBURN ST
GRASS VALLEY, CA 95945-6576
Phone number: 530-613-1284
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Mailing Address
TRACY HAWSE NP LLC
150 S AUBURN ST
GRASS VALLEY, CA 95945-6576
Phone number: 530-613-1284
Copy
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