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1770171225
TRACEY LYNN JUDY
CHARLESTON, WV
NPI
1770171225
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Former Name
TRACEY GREGORY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV 108128)
Enumeration Date
2021-01-08
Last Update Date
2021-01-09
Business Address
TRACEY LYNN JUDY APRN-CNP
3100 MACCORKLE AVE SE STE 411
CHARLESTON, WV 25304-1230
Phone number: 304-343-4400
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Mailing Address
TRACEY LYNN JUDY APRN-CNP
1401 LAKEWOOD DR
CHARLESTON, WV 25312-5930
Phone number: 304-651-5734
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