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1184348955
TREVER WENTLAND
SACRAMENTO, CA
NPI
1184348955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
TREVER WENTLAND
2570 48TH ST STE 1200
SACRAMENTO, CA 95817-1541
Phone number: 916-703-3043
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Mailing Address
TREVER WENTLAND
3178 SERRA WAY
SACRAMENTO, CA 95816-7022
Phone number: 530-923-8464
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