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Individual
TRACI BARBOUR
Active
Individual
TRACI BARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-07861
NC MEDICAL BOARD LICENSE
NC
Enumeration date
01/25/2018
Last updated
03/31/2021
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