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1316474513
TRACY ALLEN ABBOTT
STARKE, FL
NPI
1316474513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL ps35741)
Enumeration Date
2017-05-18
Last Update Date
2017-05-18
Business Address
Dr. TRACY ALLEN ABBOTT
395 W MADISON ST
STARKE, FL 32091-3923
Phone number: 904-964-7774
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Mailing Address
Dr. TRACY ALLEN ABBOTT
138 NW OMAHA WAY
LAKE CITY, FL 32055-8519
Phone number: 904-263-8307
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