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1730171554
TRACY BEVILACQUA
WASHINGTON, DC
NPI
1730171554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: DC RN967682)
Enumeration Date
2005-08-18
Last Update Date
2007-11-19
Business Address
-- TRACY BEVILACQUA
3800 RESERVOIR RD NW
WASHINGTON, DC 20007-2113
Phone number: 202-444-8640
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Mailing Address
-- TRACY BEVILACQUA
PO BOX 631856
BALTIMORE, MD 21263-1856
Phone number:
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