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Individual

JASON RANDALL TRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HS2/EMT-B/IDHS/LSM

Contact information

Practice address
USCG HQ COMDT (CG-1122) 2100 SECOND ST SW, WASHINGTON, DC 20593-0001
(202) 475-5909
(202) 475-5909
Mailing address
USCG HQ COMDT (CG-1122) 2100 SECOND ST SW, WASHINGTON, DC 20593-0001
(202) 475-5181
(202) 472-5909

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
03/14/2006
Last updated
12/11/2007
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