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Individual

JOSHUA TREVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1502 S 54TH ST, WEST MILWAUKEE, WI 53214-5204
(414) 899-5332
Mailing address
1502 S 54TH ST, WEST MILWAUKEE, WI 53214-5204
(414) 899-5332

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/08/2017
Last updated
03/08/2017
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