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Individual

TRACY HELEN DONBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4112 N 6TH ST, HARRISBURG, PA 17110-1609
(717) 439-2749
Mailing address
4112 N 6TH ST, HARRISBURG, PA 17110-1609

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN086404L
PA

Other

Enumeration date
01/20/2021
Last updated
01/20/2021
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