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1144403676
LONG THANH TRAN
BANNING, CA
NPI
1144403676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 19489)
Enumeration Date
2007-12-06
Last Update Date
2018-07-27
Business Address
LONG THANH TRAN PA-C
330 W RAMSEY ST
BANNING, CA 92220
Phone number: 951-849-1950
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Mailing Address
LONG THANH TRAN PA-C
330 W RAMSEY ST
BANNING, CA 92220-4823
Phone number: 951-849-1950
Copy
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