Individual
GORGE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4535 NORMAL BLVD STE 235, LINCOLN, NE 68506-2891
(402) 207-1050
Mailing address
1216 AVENUE A, GOTHENBURG, NE 69138-1621
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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