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1417544560
BAO TRAN NGOC LUU
PHILADELPHIA, PA
NPI
1417544560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
BAO TRAN NGOC LUU
4170 CITY AVE
PHILADELPHIA, PA 19131-1610
Phone number: 215-871-6100
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Mailing Address
BAO TRAN NGOC LUU
4170 CITY AVE
PHILADELPHIA, PA 19131-1610
Phone number:
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