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1700218492
TRACY RACE
TUBA CITY, AZ
NPI
1700218492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 86457)
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
-- TRACY RACE RN
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- TRACY RACE RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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