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Individual
MR. TREVIS LEE TREVINO
Active
Individual
MR. TREVIS LEE TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1849503021
CA
133N00000X
Nutritionist
3019283855
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
T615802497876
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
TT37598187
CA
2083S0010X
Sports Medicine (Preventive Medicine) Physician
T615802497876
MI
2083S0010X
Sports Medicine (Preventive Medicine) Physician
TT37598187
CA
Other
Enumeration date
08/28/2015
Last updated
08/13/2022
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