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1639127327
TRACY LYNN GAUDU
JOHNSON CITY, TN
NPI
1639127327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA02533)
Enumeration Date
2006-05-04
Last Update Date
2012-10-12
Business Address
Ms. TRACY LYNN GAUDU PA-C
701 MED TECH PARKWAY SUITE 300
JOHNSON CITY, TN 37604-2365
Phone number: 423-232-8301
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Mailing Address
Ms. TRACY LYNN GAUDU PA-C
PO BOX 9150
PADUCAH, KY 42002-9150
Phone number: 270-744-9600
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