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Individual

DR. TRINA G EBERSOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2022033462
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200061848
MO
Enumeration date
06/29/2015
Last updated
04/17/2025
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