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1992172068
PHAT TRAN
BRONX, NY
NPI
1992172068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 43430925)
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
Mr. PHAT TRAN AGACNP-BC
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 918-720-6136
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Mailing Address
Mr. PHAT TRAN AGACNP-BC
2516 30TH DR APT 1F
ASTORIA, NY 11102-2733
Phone number: 915-261-9010
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