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1164925996
TREVOR RIKIO IDETA
LOS ANGELES, CA
NPI
1164925996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-18
Last Update Date
2018-03-18
Business Address
TREVOR RIKIO IDETA
757 WESTWOOD PLAZA, ANESTHESIOLOGY
LOS ANGELES, CA 90095-7419
Phone number: 310-267-6629
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Mailing Address
TREVOR RIKIO IDETA
757 WESTWOOD PLAZA, ANESTHESIOLOGY
LOS ANGELES, CA 90095-7419
Phone number: 310-267-6629
Copy
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