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1366577322
TRACY ELLEN DURHAM
POOLER, GA
NPI
1366577322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN011541)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Dr. TRACY ELLEN DURHAM D.D.S.
145 TRADERS WAY SUITE D
POOLER, GA 31322-6005
Phone number: 912-748-4494
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Mailing Address
Dr. TRACY ELLEN DURHAM D.D.S.
145 TRADERS WAY SUITE D
POOLER, GA 31322-6005
Phone number: 912-748-4494
Copy
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