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Individual
TRACY LYNN COOPER
Active
Individual
TRACY LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25796
SC
Other
Enumeration date
02/09/2023
Last updated
03/24/2023
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