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Individual
SPENCER TRACY ZEAVIN
Active
Individual
SPENCER TRACY ZEAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
01041949A
IN
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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