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1184781973
TRACY ELLEN FEARNSIDE
HAYWARD, CA
NPI
1184781973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 11284)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
MS. TRACY ELLEN FEARNSIDE P.A.-C.
680 W. TENNYSON RD. SILVA CLINIC
HAYWARD, CA 94544
Phone number: 510-782-4470
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Mailing Address
MS. TRACY ELLEN FEARNSIDE P.A.-C.
PRIMARY CARE ASSOCIATE PROGRAM, STANFORD UNIVERSITY SCH 1215 WELCH RD. , MODULAR G
PALO ALTO, CA 94305-5408
Phone number: 650-736-7773
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