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1114253572
KEVIN SCOTT TRACY
TUBA CITY, AZ
NPI
1114253572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: MO 135534)
Enumeration Date
2009-10-20
Last Update Date
2009-10-20
Business Address
-- KEVIN SCOTT TRACY R.N.
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- KEVIN SCOTT TRACY R.N.
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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