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1992006472
TRACY WIDNER
YAKIMA, WA
NPI
1992006472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-11-15
Last Update Date
2010-11-15
Business Address
-- TRACY WIDNER
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- TRACY WIDNER
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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