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1295797678
LY C TRAN
BLOOMFIELD, CT
NPI
1295797678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 001396)
Enumeration Date
2006-04-03
Last Update Date
2021-06-29
Business Address
LY C TRAN PA-C
6 NORTHWESTERN DR SUITE # 305
BLOOMFIELD, CT 06002-3463
Phone number: 860-242-8591
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Mailing Address
LY C TRAN PA-C
6 NORTHWESTERN DR SUITE # 305
BLOOMFIELD, CT 06002-3463
Phone number: 860-242-8591
Copy
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