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1225763972
NGAN PHUONG BAO TRAN
CHICOPEE, MA
NPI
1225763972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-18
Last Update Date
2022-07-18
Business Address
NGAN PHUONG BAO TRAN
444 MONTGOMERY ST
CHICOPEE, MA 01020-1969
Phone number: 413-594-3111
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Mailing Address
NGAN PHUONG BAO TRAN
505 GRATTAN ST
CHICOPEE, MA 01020-1548
Phone number: 413-363-8181
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