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Individual
MR. JOSE GUADALUPE TREVINO II
Active
Individual
MR. JOSE GUADALUPE TREVINO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC/SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1889818-01
—
TX
Enumeration date
07/09/2007
Last updated
11/16/2010
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