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1114301330
PHUONG TRAN COURTNEY
STATE COLLEGE, PA
NPI
1114301330
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Former Name
PHUONG THI TRAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA057576)
Enumeration Date
2015-07-17
Last Update Date
2016-10-26
Business Address
-- PHUONG TRAN COURTNEY PA
1613 NORTH ATHERTON STREET SUITE B
STATE COLLEGE, PA 16803
Phone number: 814-238-1066
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Mailing Address
-- PHUONG TRAN COURTNEY PA
1613 NORTH ATHERTON STREET SUITE B
STATE COLLEGE, PA 16803
Phone number: 814-238-1066
Copy
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