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Individual

TRACY DUNBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18245 WEST PORT ROYALE LN., SURPRISE, AZ 85388
(623) 565-1336
Mailing address
18245 WEST PORT ROYALE LN., SURPRISE, AZ 85388
(623) 565-1336

Taxonomy

Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1797878
AZ

Other

Enumeration date
09/25/2009
Last updated
10/15/2009
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