TRACY CLAIRE KUTSENKOW

SELMA, CA
NPI1699767020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  308978)
Enumeration Date2005-08-22
Last Update Date2008-05-07
Business Address
-- TRACY CLAIRE KUTSENKOW NP
2511 LOGAN ST LOGAN STREET MEDICAL GROUP
SELMA, CA 93662-3012
Phone number: 559-896-2624
Mailing Address
-- TRACY CLAIRE KUTSENKOW NP
4551 N COLLEGE AVE
FRESNO, CA 93704-3808
Phone number: 559-435-6477
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