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Individual
TRACEY L WALKER
Active
Individual
TRACEY L WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.S.
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
R0056064
OK
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
56064
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033840A
—
OK
Enumeration date
10/05/2005
Last updated
10/26/2022
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