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Individual

TREVOR REEF MOSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDMT AIR FORCE

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3961
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3961

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
04/21/2022
Last updated
04/21/2022
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