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1245210541
TRACEY ALLEN BANKS
STATE COLLEGE, PA
NPI
1245210541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP009990)
Enumeration Date
2006-01-20
Last Update Date
2011-03-15
Business Address
-- TRACEY ALLEN BANKS FNP
211 NOLL LAB
STATE COLLEGE, PA 16802
Phone number: 814-865-5811
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Mailing Address
-- TRACEY ALLEN BANKS FNP
2 FOREST DR
LOCK HAVEN, PA 17745-9636
Phone number: 570-660-0505
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