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Individual

TRACY LEE HARBUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 N CALIFORNIA ST, SOCORRO, NM 87801-4254
(575) 622-6299
Mailing address
62 E ST, ROSWELL, NM 88203-8406
(575) 291-5613

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NM

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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