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Individual
JEFFREY C TRUONG
Active
Individual
JEFFREY C TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00155717
RAILROAD MEDICARE
CA
05
—
PA15701
—
CA
Enumeration date
06/06/2006
Last updated
06/24/2008
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