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Individual
DR. KATHY TRAN
Active
Individual
DR. KATHY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 12865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT 12865
BOARD OF OPTO. LICENSE
CA
Enumeration date
08/20/2006
Last updated
03/16/2015
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