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Individual

TRACY COMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, CSA

Contact information

Practice address
1704 N DIXIE HWY # 913, ELIZABETHTOWN, KY 42701-9449
(419) 673-0761
Mailing address
418 PEAR ORCHARD RD NW, ELIZABETHTOWN, KY 42701-9455
(270) 735-9434

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1092229
KY
246ZC0007X
Surgical Assistant
SA165
KY

Other

Enumeration date
06/07/2008
Last updated
06/07/2008
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