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1114957701
DAVID A. TRACEY
PROVIDENCE, RI
NPI
1114957701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: RI PA00333)
Enumeration Date
2006-07-03
Last Update Date
2010-06-10
Business Address
-- DAVID A. TRACEY PA-C
593 EDDY ST APC MAIN
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5435
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Mailing Address
-- DAVID A. TRACEY PA-C
593 EDDY ST APC MAIN
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5435
Copy
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