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1154173318
KELLY TRAM BANH
BATON ROUGE, LA
NPI
1154173318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-02
Last Update Date
2024-05-29
Business Address
KELLY TRAM BANH MD
824 GRAND LAKES DR
BATON ROUGE, LA 70810-7316
Phone number: 225-202-4708
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Mailing Address
KELLY TRAM BANH MD
824 GRAND LAKES DR
BATON ROUGE, LA 70810-7316
Phone number:
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