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1548311731
TRACY A MAXWELL
URBANA, IL
NPI
1548311731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209001233)
Enumeration Date
2007-01-15
Last Update Date
2012-06-11
Business Address
TRACY A MAXWELL CRNA
602 W. UNIVERSITY AVENUE FAMILY MEDICINE
URBANA, IL 61801
Phone number: 217-383-5162
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Mailing Address
TRACY A MAXWELL CRNA
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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