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Individual
JACKELIN Q TRAN
Active
Individual
JACKELIN Q TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O., MS
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60708709
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/26/2015
Last updated
01/04/2019
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