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1417614918
TRACY LYNN PHILLIPS
AUGUSTA, GA
NPI
1417614918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SG0600X Clinical Nurse Specialist, Gerontology
(Licence: SC 23860)
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
TRACY LYNN PHILLIPS AGCNS-BC
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-446-5534
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Mailing Address
TRACY LYNN PHILLIPS AGCNS-BC
1942 JOYNER POND RD
AIKEN, SC 29803-9512
Phone number: 219-477-9408
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