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TRACY BAUGHMAN

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1861927659

Individual Registrant:
 TRACY  BAUGHMAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23701 E EAST FORK RD  AZUSA, CA 91702-1477 US
Tel: 626-250-3290  Fax: 626-910-1380

Contact information for business:
23701 E EAST FORK RD  AZUSA, CA 91702-1477 US
Tel: 626-250-3290  Fax: 626-910-1380

Registration Information:
NPI: 1861927659
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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