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Individual

BRANDON SEAN TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-3414
Mailing address
MSC10 5610 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4161
(505) 272-2776

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RS2025-0241
MEDICALLICENSE
NM
Enumeration date
12/02/2021
Last updated
09/10/2025
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