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Individual
TRACEY AMANDA O'SHEA
Active
Individual
TRACEY AMANDA O'SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
797669
CA
363LF0000X
Family Nurse Practitioner
Primary
23204
CA
Other
Enumeration date
05/06/2013
Last updated
07/21/2022
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