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1154057420
DIANA PHUONGTHAO TRAN
COSTA MESA, CA
NPI
1154057420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-28
Last Update Date
2023-08-20
Business Address
DIANA PHUONGTHAO TRAN
1520 NUTMEG PL
COSTA MESA, CA 92626-2501
Phone number: 410-071-4922
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Mailing Address
DIANA PHUONGTHAO TRAN
801 E KATELLA AVE
ANAHEIM, CA 92805-6614
Phone number:
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