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1598735185
TERRI SUSANN TRACY
JOPLIN, MO
NPI
1598735185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 120842)
Enumeration Date
2006-01-25
Last Update Date
2011-05-18
Business Address
-- TERRI SUSANN TRACY CRNA
1905 W 32ND ST STE 201
JOPLIN, MO 64804
Phone number: 417-206-7900
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Mailing Address
-- TERRI SUSANN TRACY CRNA
PO BOX 388
NEWTON, KS 67114-0388
Phone number: 316-281-3700
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