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Individual
AUDREY B TRAN
Active
Individual
AUDREY B TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00043433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952419491
MEDICAID
WA
05
—
8392847
—
WA
Enumeration date
08/25/2006
Last updated
10/10/2016
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