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1760747943
TRACY DENISE PENA
ALICE, TX
NPI
1760747943
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Former Name
TRACY DENISE PENA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 694411)
Enumeration Date
2012-07-12
Last Update Date
2013-10-09
Business Address
-- TRACY DENISE PENA FNP
2510 E MAIN ST SUITE 102
ALICE, TX 78332-4187
Phone number: 361-664-4445
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Mailing Address
-- TRACY DENISE PENA FNP
2510 E MAIN ST SUITE 102
ALICE, TX 78332-4187
Phone number: 361-664-4445
Copy
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