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Individual

TRACY BOSTIC CLINGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
620 GRANDVIEW DR, HAMILTON, AL 35570-4332
(205) 495-4314
Mailing address
PO BOX 1941, HAMILTON, AL 35570-1941
(205) 921-7172

Taxonomy

Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
9359006805
AL
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
9359006805
AL
246W00000X
Cardiology Technician
9359006805
AL

Other

Enumeration date
06/27/2008
Last updated
06/27/2008
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