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1669917811
JACQUELINE TRACEY
TUBA CITY, AZ
NPI
1669917811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: KS 861198)
Enumeration Date
2016-12-27
Last Update Date
2016-12-27
Business Address
-- JACQUELINE TRACEY CMA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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Mailing Address
-- JACQUELINE TRACEY CMA
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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