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1225454267
TRACY L. STACK
SPOKANE, WA
NPI
1225454267
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Former Name
TRACY L HAYES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60454198)
Enumeration Date
2014-03-14
Last Update Date
2017-04-26
Business Address
-- TRACY L. STACK ARNP
235 E ROWAN AVE SUITE 102
SPOKANE, WA 99207-1240
Phone number: 509-489-2101
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Mailing Address
-- TRACY L. STACK ARNP
1911 E 39TH AVE
SPOKANE, WA 99203-4137
Phone number: 360-531-1051
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