Individual
TRACY LEE WINANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 N 8TH ST, COSHOCTON, OH 43812-1230
(740) 294-0638
Mailing address
316 N 8TH ST, COSHOCTON, OH 43812-1228
(740) 622-0952
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2507513
—
OH
Enumeration date
02/14/2007
Last updated
07/09/2007
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