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Individual
KEVIN M TRAINOR
Active
Individual
KEVIN M TRAINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA9452T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0094520
INDIVIDUAL PTAN
CA
01
—
ZZZ05960Z
GROUP PTAN
CA
Enumeration date
02/22/2006
Last updated
01/02/2008
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