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1629070750
TRACIE DALENE UPDIKE
PORT ARTHUR, TX
NPI
1629070750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J4577)
Enumeration Date
2005-06-01
Last Update Date
2007-07-12
Business Address
-- TRACIE DALENE UPDIKE M.D.
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642-5516
Phone number: 409-983-1899
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Mailing Address
-- TRACIE DALENE UPDIKE M.D.
2933 PARK PLAZA LN
PORT ARTHUR, TX 77642-5516
Phone number: 409-983-1899
Copy
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