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1528358405
LUANN MARIE TRACEY
SOUTH BEND, IN
NPI
1528358405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71003603A)
Enumeration Date
2011-04-13
Last Update Date
2016-06-16
Business Address
LUANN MARIE TRACEY FNP
1708 HIGH ST
SOUTH BEND, IN 46613-2633
Phone number: 574-647-1400
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Mailing Address
LUANN MARIE TRACEY FNP
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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