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1679901409
TRACEY ANN ECKENROD
JOHNSTOWN, PA
NPI
1679901409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP013226)
Enumeration Date
2013-10-14
Last Update Date
2018-09-14
Business Address
TRACEY ANN ECKENROD MSN CRNP
136 JAYCEE DR
JOHNSTOWN, PA 15904-3650
Phone number: 814-467-4055
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Mailing Address
TRACEY ANN ECKENROD MSN CRNP
241 SCHOOLHOUSE RD STE 201
JOHNSTOWN, PA 15904-3239
Phone number: 814-266-5650
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