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Individual

TRACY DAWN GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
MI-4601
CO
376K00000X
Nurse's Aide
NA-365660
CO

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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