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Individual

TREVOR JOHN MARUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4444 LACEY BLVD SE STE E, LACEY, WA 98503-5730
(360) 999-9848
Mailing address
4444 LACEY BLVD SE STE E, LACEY, WA 98503-5730
(360) 999-9848

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60884033
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2134869
WA
Enumeration date
02/13/2017
Last updated
12/18/2023
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