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1104478551
TRACEY BATES LONG
HOUSTON, TX
NPI
1104478551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: NV 822517)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
DR. TRACEY BATES LONG RN, APRN, PHD
7501 FANNIN ST STE 705
HOUSTON, TX 77054-1958
Phone number: 713-589-5283
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Mailing Address
DR. TRACEY BATES LONG RN, APRN, PHD
10550 HABERSHAM CT
LAS VEGAS, NV 89183-4551
Phone number: 702-301-9560
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