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Individual

TRACY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
69 DOCTORS PARK, SUITE C, CAPE GIRARDEAU, MO 63703-4927
(573) 332-1900
(573) 332-0444
Mailing address
69 DOCTORS PARK, SUITE C, CAPE GIRARDEAU, MO 63703-4927
(573) 332-1900
(573) 332-0444

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
127485
MO

Other

Enumeration date
01/28/2011
Last updated
01/28/2011
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