Individual
GABRAIEL ARTURO TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
12500 MERANDA RD, ANNA, OH 45302-9604
(937) 498-4545
Mailing address
2138 BLAKE AVE, DAYTON, OH 45414-3317
(937) 405-9453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004355
OH
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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