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Individual
TRACY LEE CORMIER
Active
Individual
TRACY LEE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005101
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
005101
CT
363LP2300X
Primary Care Nurse Practitioner
005101
CT
Other
Enumeration date
08/28/2012
Last updated
03/16/2016
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