Organization
TRACIE L DUBOSE FNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE L DUBOSE CFNP (PRESIDENT)
(337) 457-2200
Entity
Organization
Contact information
Practice address
281 MOOSA BLVD, EUNICE, LA 70535-3638
(337) 457-2200
(337) 457-2203
Mailing address
281 MOOSA BLVD, EUNICE, LA 70535-3638
(337) 457-2200
(337) 457-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP06739
LA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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