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Individual

TRINA A HERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
18-0414
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18-0414
NBCOT
MO
Enumeration date
05/25/2018
Last updated
05/25/2018
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