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Individual

TRACY WRUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
N9319 BOAT LANDING 3 RD, CRIVITZ, WI 54114-8173
(715) 927-0096
Mailing address
N9319 BOAT LANDING 3 RD, CRIVITZ, WI 54114-8173
(715) 927-0096

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319630-31
WI

Other

Enumeration date
11/01/2016
Last updated
11/01/2016
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