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1487978722
TRACY FABRE
LAFAYETTE, LA
NPI
1487978722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209008053)
Enumeration Date
2010-03-15
Last Update Date
2014-01-08
Business Address
-- TRACY FABRE CRNA
1101 KALISTE SALOOM RD
LAFAYETTE, LA 70508-5705
Phone number: 337-988-5646
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Mailing Address
-- TRACY FABRE CRNA
1103 KALISTE SALOOM RD SUITE 304
LAFAYETTE, LA 70508-5783
Phone number: 337-988-5646
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