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1194094375
TRACEY ALPHIN
INDIANAPOLIS, IN
NPI
1194094375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001366A)
Enumeration Date
2011-12-19
Last Update Date
2014-12-17
Business Address
-- TRACEY ALPHIN PA
1800 N CAPITOL AVE NP E-140
INDIANAPOLIS, IN 46202-1218
Phone number: 317-962-2894
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Mailing Address
-- TRACEY ALPHIN PA
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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