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Patricia Alice Trivitt

NPI Registration Record

Provider / OrganizationNPIDate Certified
PATRICIA ALICE TRIVITT19529100442020-07-24
Entity TypeIndividual
Provider NameMrs. Patricia Alice Trivitt
Practice Office Address21972 JEFFERS LN
SANTA CLARITA, CA US
Practice Office Telephone6612637824
Mailing Address21972 JEFFERS LN
SANTA CLARITA, CA 913503906 US
Business Telephone6612637824
HPT Codes
CodeLicense NoState
3747A0650X PRIMARY
OPI Codes

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