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Individual
MRS. TRACY BARILLA
Active
Individual
MRS. TRACY BARILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011582
LICENSE
NY
Enumeration date
10/12/2006
Last updated
02/10/2009
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