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Tracy Mumbulo
NPI 1699130963 · on the registry since 2015 · sole proprietor
Practice
- Address
- 208 Akutan Ave Unit A
Jber, AK 99505 - Phone
- (919) 888-2291
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska