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1154045540
TINA LE TRAN
LAGRANGE, GA
NPI
1154045540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 12106)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-09-28
Last Update Date
2024-04-12
Business Address
TINA LE TRAN
413 LAKEVIEW WAY
LAGRANGE, GA 30241-8792
Phone number: 404-647-3051
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Mailing Address
TINA LE TRAN
413 LAKEVIEW WAY
LAGRANGE, GA 30241-8792
Phone number: 404-647-3051
Copy
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