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1215137807
TRACY VAN ELLS MOISTER
GREENVILLE, SC
NPI
1215137807
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Former Name
TRACY KATHERINE VAN ELLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 1977)
Enumeration Date
2007-07-20
Last Update Date
2019-05-30
Business Address
Mrs. TRACY VAN ELLS MOISTER PA-C
105 HALTON VILLAGE CIR STE A
GREENVILLE, SC 29607-6832
Phone number: 864-234-1433
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Mailing Address
Mrs. TRACY VAN ELLS MOISTER PA-C
105 HALTON VILLAGE CIR STE A
GREENVILLE, SC 29607-6832
Phone number: 864-234-1433
Copy
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