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Individual

TRACY COBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 MARKET ST, 2ND FLOOR, LEWISBURG, PA 17837-3002
(570) 524-0900
Mailing address
607 SPRUCE ST, WILLIAMSPORT, PA 17701-4816

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9704962
PA

Other

Enumeration date
08/07/2007
Last updated
08/07/2007
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