TRACY KING FASOLINO

GREENVILLE, SC
NPI1427006170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  F1070)
Enumeration Date2006-05-05
Last Update Date2014-09-24
Business Address
-- TRACY KING FASOLINO NP
317 SAINT FRANCIS DR
GREENVILLE, SC 29601-3965
Phone number: 864-255-1304
Mailing Address
-- TRACY KING FASOLINO NP
PO BOX 25039
GREENVILLE, SC 29616-0039
Phone number: 864-605-3720
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