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Individual
TRACY LYNN CANNELL
Active
Individual
TRACY LYNN CANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
764457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329693102
—
TX
01
—
8004UH
BCBS TX
TX
Enumeration date
12/04/2013
Last updated
06/27/2024
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