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Individual

MR. BRUCE A TREVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 SIERRA STREET, KINGSBURG, CA 93631
(559) 897-2963
(559) 897-2721
Mailing address
2400 SIERRA STREET, KINGSBURG, CA 93631
(559) 897-2963
(559) 897-2721

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G53793
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0025690
CA
Enumeration date
01/18/2007
Last updated
01/14/2009
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