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Individual

MR. JODY G TRAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, CNOR

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
597248
TX
163WR0006X
Registered Nurse First Assistant
Primary
597248
TX
246ZS0410X
Surgical Technologist
597248
TX

Other

Enumeration date
03/05/2007
Last updated
04/28/2014
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