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1902232374
TRACEY GAYLE DECASTRO
SMITHFIELD, RI
NPI
1902232374
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Former Name
TRACEY GAYLE CHURCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: RI APRN00656)
Enumeration Date
2013-09-17
Last Update Date
2023-03-14
Business Address
Mrs. TRACEY GAYLE DECASTRO APRN
910 DOUGLAS PIKE
SMITHFIELD, RI 02917-1874
Phone number: 401-427-6727
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Mailing Address
Mrs. TRACEY GAYLE DECASTRO APRN
74 JEREMY HILL RD
STONINGTON, CT 06378-1605
Phone number: 860-501-1326
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