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Individual
DR. TRANG LE GAGNE-FONGEMIE
Active
Individual
DR. TRANG LE GAGNE-FONGEMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 00021571
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH 00021571
PHARMACIST LICENSE
WA
Enumeration date
04/08/2010
Last updated
04/08/2010
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