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ALLISON THERESA TRACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1512 4TH ST NE, WATERTOWN, SD 57201-6824
(605) 884-0100
Mailing address
18025 468TH AVE, CLEAR LAKE, SD 57226-5320
(605) 520-0302

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002916
SD

Other

Enumeration date
08/01/2023
Last updated
08/01/2023
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