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1942435805
LUPE TREVINO
YAKIMA, WA
NPI
1942435805
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Professional Name
LUPE TREVINO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00056306)
Enumeration Date
2009-05-21
Last Update Date
2009-05-21
Business Address
Mr. LUPE TREVINO LPN, BSW
918 E MEAD AVE
YAKIMA, WA 98903-3720
Phone number: 509-453-1344
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Mailing Address
Mr. LUPE TREVINO LPN, BSW
918 E MEAD AVE
YAKIMA, WA 98903-3720
Phone number: 509-453-1344
Copy
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