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1639948946
TRACIE DAVIS
CARROLLTON, KY
NPI
1639948946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71014807A)
Enumeration Date
2023-12-28
Last Update Date
2024-04-12
Business Address
TRACIE DAVIS
309 11TH ST
CARROLLTON, KY 41008-1435
Phone number: 502-732-3272
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Mailing Address
TRACIE DAVIS
8535 E PHILLIP DR
VEVAY, IN 47043-9478
Phone number: 765-620-6600
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