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Individual
LUIS BERNARDO TRUJILLO
Active
Individual
LUIS BERNARDO TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA 39379
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA39379
FL
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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