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Individual

TRACY A BAUHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CBRS

Contact information

Practice address
2201 N IRONWOOD PL STE 100, COEUR D ALENE, ID 83814-2670
(208) 769-4222
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CD255759J
ID

Other

Enumeration date
11/06/2019
Last updated
11/06/2019
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