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1114609104
ALLISON THERESA TRACY
WATERTOWN, SD
NPI
1114609104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SD CP002916)
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
ALLISON THERESA TRACY FNP-C
1512 4TH ST NE
WATERTOWN, SD 57201-6824
Phone number: 605-884-0100
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Mailing Address
ALLISON THERESA TRACY FNP-C
18025 468TH AVE
CLEAR LAKE, SD 57226-5320
Phone number: 605-520-0302
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