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1982212148
ELLEN PHUONG TRAN
OCEANSIDE, CA
NPI
1982212148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA60375)
Enumeration Date
2020-07-14
Last Update Date
2022-01-11
Business Address
ELLEN PHUONG TRAN
3142 VISTA WAY SUITE 401
OCEANSIDE, CA 92056-1712
Phone number: 760-681-5222
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Mailing Address
ELLEN PHUONG TRAN
1350 CALLE JULES APT 206
VISTA, CA 92084
Phone number: 714-675-2084
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