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1245943760
THAO NGOC PHUONG TRAN
SAN JOSE, CA
NPI
1245943760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95023688)
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
-- THAO NGOC PHUONG TRAN FNP
4485 THISTLE DR
SAN JOSE, CA 95136-2051
Phone number: 408-620-2320
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Mailing Address
-- THAO NGOC PHUONG TRAN FNP
4485 THISTLE DR
SAN JOSE, CA 95136-2051
Phone number: 408-620-2320
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