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Individual

ALEXANDER TRUJILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9324 CRESCENT LOOP CIR APT 304, TAMPA, FL 33619-7648
(813) 300-4003
(813) 490-5495
Mailing address
9324 CRESCENT LOOP CIR APT 304, TAMPA, FL 33619-7648
(813) 300-4003
(813) 490-5495

Taxonomy

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

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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