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1740964014
MI NI THI TRAN
JACKSONVILLE, FL
NPI
1740964014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: FL AA899)
Enumeration Date
2023-06-14
Last Update Date
2023-11-17
Business Address
MI NI THI TRAN CAA
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8202
Phone number: 386-237-8755
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Mailing Address
MI NI THI TRAN CAA
1918 PALMA CEIA ST
PALATKA, FL 32177-5957
Phone number: 386-237-8755
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