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1811601271
JOHN TRAN LY
JACKSONVILLE, FL
NPI
1811601271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 11023893)
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
JOHN TRAN LY CRNA
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-5029
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Mailing Address
JOHN TRAN LY CRNA
96091 ROXABOGUE DR
FERNANDINA BEACH, FL 32034-8141
Phone number: 904-415-1383
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