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Individual
TRACEY S CLONINGER
Active
Individual
TRACEY S CLONINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103242
NC
Other
Enumeration date
11/08/2006
Last updated
06/25/2026
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