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1336629096
KIM D TRAN
USAF ACADEMY, CO
NPI
1336629096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 00000000)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
KIM D TRAN
4102 PINION DR
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5792
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Mailing Address
KIM D TRAN
PO BOX 204
USAF ACADEMY, CO 80840-0204
Phone number: 949-331-3065
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