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1881021459
TRACI LAYNE TANNEHILL
FAIRMONT, WV
NPI
1881021459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WV 73116)
Enumeration Date
2013-09-27
Last Update Date
2022-04-05
Business Address
TRACI LAYNE TANNEHILL FNP-BC
5 ERWIN LN STE A
FAIRMONT, WV 26554-1376
Phone number: 304-366-0111
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Mailing Address
TRACI LAYNE TANNEHILL FNP-BC
PO BOX 1286
FAIRMONT, WV 26555-1286
Phone number: 304-366-0111
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