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1245483221
PAULINE AGATHA TRACEY
SACRAMENTO, CA
NPI
1245483221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 12248)
Enumeration Date
2008-11-04
Last Update Date
2008-11-04
Business Address
Ms. PAULINE AGATHA TRACEY FNP
6879 14TH AVE
SACRAMENTO, CA 95820-3431
Phone number: 916-277-6300
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Mailing Address
Ms. PAULINE AGATHA TRACEY FNP
6879 14TH AVE
SACRAMENTO, CA 95820-3431
Phone number: 916-277-6300
Copy
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