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Individual
MS. TRACI HORNBECK
Active
Individual
MS. TRACI HORNBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18733
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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