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Individual

TRACIE COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
184 W MAIN ST, NORTON, MA 02766-1243
(508) 824-0243
Mailing address
184 W MAIN ST, NORTON, MA 02766-1243
(508) 824-0243

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN261281
MA

Other

Enumeration date
09/02/2011
Last updated
09/06/2024
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