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Individual
MIGUEL ANGEL TREJO
Active
Individual
MIGUEL ANGEL TREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1121558
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1121558
TX
Other
Enumeration date
06/02/2023
Last updated
07/06/2023
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