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1831220102
JACQUELINE DIEM TRAN
LOS ANGELES, CA
NPI
1831220102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA18801)
Enumeration Date
2007-03-08
Last Update Date
2016-01-07
Business Address
Mrs. JACQUELINE DIEM TRAN PA-C
8635 W. THIRD STREET, SUITE 1060W
LOS ANGELES, CA 90048
Phone number: 310-423-3334
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Mailing Address
Mrs. JACQUELINE DIEM TRAN PA-C
9191 WESTMINSTER AVE # 205
GARDEN GROVE, CA 92844-2751
Phone number: 310-423-3334
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