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Individual

KIM HOA TRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4175 VINEWOOD LN N, PLYMOUTH, MN 55442-2624
(763) 553-1757
Mailing address
4963 ARCHER LN N, PLYMOUTH, MN 55446-2744
(763) 350-4342

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
177611
MN

Other

Enumeration date
06/15/2011
Last updated
06/15/2011
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