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Individual

DR. TRACY CARPENTER-LABRECQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
3825 MARKET STREET, SUITE ONE, WILMINGTON, NC 28403-1401
(910) 343-1111
(910) 343-8292
Mailing address
PO BOX 12027, WILMINGTON, NC 28405-0100
(910) 343-1111
(910) 343-8292

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1593
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08581
BCBS
NC
01
350054583
RR MEDICARE
05
6908581
NC
Enumeration date
05/22/2006
Last updated
05/11/2016
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