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Individual

HAO RAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98433
(253) 968-0982
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98433

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3192801
TX

Other

Enumeration date
10/15/2018
Last updated
10/15/2018
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