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1154762706
TRACEY LARK
PITTSBURGH, PA
NPI
1154762706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA001024L)
Enumeration Date
2013-07-11
Last Update Date
2021-07-27
Business Address
TRACEY LARK PAC
3811 OHARA ST
PITTSBURGH, PA 15213-2593
Phone number: 412-586-9330
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Mailing Address
TRACEY LARK PAC
3811 OHARA ST
PITTSBURGH, PA 15213-2593
Phone number: 412-586-9330
Copy
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