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1477005130
MIA LAM TRAN
PORTLAND, OR
NPI
1477005130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OR 0014963)
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
-- MIA LAM TRAN
5721 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-7557
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Mailing Address
-- MIA LAM TRAN
5721 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-7557
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