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1114138872
TRACY D. FAIRBAIRN
SPRINGFIELD, MO
NPI
1114138872
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Former Name
TRACY D FARMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 2000165088)
Enumeration Date
2007-05-24
Last Update Date
2011-05-20
Business Address
-- TRACY D. FAIRBAIRN CRNA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
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Mailing Address
-- TRACY D. FAIRBAIRN CRNA
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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