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1083495873
TRACY B. ROSS
SHREVEPORT, LA
NPI
1083495873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 232136)
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
TRACY B. ROSS
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
TRACY B. ROSS
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0177
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