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1164592275
TRACEY S CLONINGER
RALEIGH, NC
NPI
1164592275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 103242)
Enumeration Date
2006-11-08
Last Update Date
2012-12-12
Business Address
-- TRACEY S CLONINGER PA-C
4201 LAKE BOONE TRL SUITE 200
RALEIGH, NC 27607-7511
Phone number: 919-782-2152
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Mailing Address
-- TRACEY S CLONINGER PA-C
4201 LAKE BOONE TRL SUITE 200
RALEIGH, NC 27607-7511
Phone number: 919-782-2152
Copy
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