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Individual

DEION TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4730 E INDIAN SCHOOL RD, SUITE #211, PHOENIX, AZ 85018-5441
(602) 354-3491
Mailing address
14602 N 19TH AVE, UNIT 106, PHOENIX, AZ 85023-7102
(206) 229-3768

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6163
AZ

Other

Enumeration date
09/17/2014
Last updated
10/14/2015
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