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1477095156
TRACY LEN NOVAK
MICHIGAN CITY, IN
NPI
1477095156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71006692A)
Enumeration Date
2016-11-10
Last Update Date
2023-08-14
Business Address
TRACY LEN NOVAK AGACNP
8733 W 400 N
MICHIGAN CITY, IN 46360-9330
Phone number: 219-879-0333
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Mailing Address
TRACY LEN NOVAK AGACNP
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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