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TRACY LYNN DOBOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Mailing address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-212961
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008463850
EMPLOYER AETNA GRP NUMBER
OH
01
076189
CCNA NUMBER
OH
01
1770547408
EMPLOYER ORG NPI NUMBER
OH
05
7091249
OH
01
NA-09141
CRNA OH BOARD OF NURSING
OH
01
RN-212961
RN LICENSE NUMBER
OH
Enumeration date
10/25/2006
Last updated
07/09/2007
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