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Individual
TRACY COMPTON
Active
Individual
TRACY COMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CSA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1092229
KY
246ZC0007X
Surgical Assistant
SA165
KY
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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