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Individual

BANPHONG VU TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
12687 LONE PALM CT, LARGO, FL 33773-1259
(727) 420-7449
Mailing address
12687 LONE PALM CT, LARGO, FL 33773-1259
(727) 420-7449

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9261502
FL
163WG0000X
General Practice Registered Nurse
RN9261502
FL
163WM0705X
Medical-Surgical Registered Nurse
RN9261502
FL

Other

Enumeration date
08/25/2013
Last updated
08/25/2013
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