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1063532232
PHUONG THI KIM TRAN
SAN DIEGO, CA
NPI
1063532232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA 18370)
Enumeration Date
2007-03-30
Last Update Date
2022-10-27
Business Address
PHUONG THI KIM TRAN PA-C
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121-3715
Phone number: 858-859-1188
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Mailing Address
PHUONG THI KIM TRAN PA-C
10444 FLANDERS CV
SAN DIEGO, CA 92126-3031
Phone number:
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