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Individual
MR. TREVYN LLOYD DESPAIN
Active
Individual
MR. TREVYN LLOYD DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24715
PHYSICAL THERAPY LISENCE
CA
Enumeration date
01/09/2006
Last updated
07/11/2012
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