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Individual
MR. TRACY LYNN SMITH
Active
Individual
MR. TRACY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NNP BC, APN
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
A03450
AR
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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