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1710409404
ENRIQUE TRUJEQUE
TRAVIS AFB, CA
NPI
1710409404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2017-07-13
Last Update Date
2017-07-13
Business Address
ENRIQUE TRUJEQUE IDMT
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 593-781-9721
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Mailing Address
ENRIQUE TRUJEQUE IDMT
3127 S EUGENE
MESA, AZ 85212-3108
Phone number:
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