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Individual

TREVOR VILLALOBOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS CRIMINAL JUSTICE

Contact information

Practice address
13691 S BROWN FARM LN, DRAPER, UT 84020-7809
(801) 407-0047
Mailing address
520 S 500 E UNIT 305, SALT LAKE CITY, UT 84102-2784
(801) 252-6646

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
UT

Other

Enumeration date
06/21/2024
Last updated
06/21/2024
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