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1144662032
TRACY LEACH
LONGVIEW, TX
NPI
1144662032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: TX AP124269)
Enumeration Date
2013-07-22
Last Update Date
2017-05-19
Business Address
-- TRACY LEACH NNP-BC
707 HOLLYBROOK DR
LONGVIEW, TX 75605-2410
Phone number: 903-757-6042
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Mailing Address
-- TRACY LEACH NNP-BC
707 HOLLYBROOK DR
LONGVIEW, TX 75605-2410
Phone number:
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