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1770255341
AI-VI IVY TRAN
TACOMA, WA
NPI
1770255341
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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
2021-10-01
Last Update Date
2023-04-29
Business Address
AI-VI IVY TRAN MD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-792-6680
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Mailing Address
AI-VI IVY TRAN MD
315 MARTIN LUTHER KING JR. WAY MAILSTOP 315-5C-TFM
TACOMA, WA 98405
Phone number:
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