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1194820456
TRACY T KELLY
TACOMA, WA
NPI
1194820456
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Other Name
TRACY DANIELLE THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00045647)
Enumeration Date
2006-09-13
Last Update Date
2010-09-10
Business Address
-- TRACY T KELLY MD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-4538
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Mailing Address
-- TRACY T KELLY MD
PO BOX 5299
TACOMA, WA 98415-0299
Phone number: 253-403-4538
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