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1992309900
TRACY DOMINIQUE DAVIS
SAN ANTONIO, TX
NPI
1992309900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 331689)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
TRACY DOMINIQUE DAVIS
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
TRACY DOMINIQUE DAVIS
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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