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1134500820
MONICA TRACY
BOSSIER CITY, LA
NPI
1134500820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: LA AP08324)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
Mrs. MONICA TRACY AGPCNP-C
4405 AIRLINE DR
BOSSIER CITY, LA 71111-2058
Phone number: 318-470-2101
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Mailing Address
Mrs. MONICA TRACY AGPCNP-C
3931 LE BROOKE LN
BENTON, LA 71006-9726
Phone number: 318-470-2101
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