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Individual

TRACY POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5211 HIGHWAY 110, AURORA, MN 55705-1522
(218) 229-4246
Mailing address
5211 HIGHWAY 110, AURORA, MN 55705-1522

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R173832-6
MN

Other

Enumeration date
06/11/2014
Last updated
06/11/2014
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