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1164068680
TRAN LUONG
PHOENIX, AZ
NPI
1164068680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 86066490)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
TRAN LUONG RD
4653 E COTTON GIN LOOP STE 100
PHOENIX, AZ 85040-8835
Phone number: 623-399-6825
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Mailing Address
TRAN LUONG RD
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308-8398
Phone number: 623-399-6825
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