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MARJORIA MARIE TRACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
143 NORTH ST, SUITE #4, AUBURN, NY 13021-1852
(315) 252-5028
(315) 252-5028
Mailing address
143 NORTH ST, SUITE #4, AUBURN, NY 13021-1852
(315) 252-5028
(315) 252-1587

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0280F000858
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01979193
NY
Enumeration date
10/14/2005
Last updated
01/28/2011
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