MR. Trent Jebens

NPI #1205124450 in Austin, Texas

Provider Information

NPI Number: 1205124450
Entity Type: Individual
Name: MR. Trent Jebens
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 20, 2011
Last Updated: Jul 20, 2011

Practice Location

Address: 2300 W BEN WHITE BLVD
Address 2: T-0096
City: Austin
State: Texas
ZIP Code: 78704-7525
Phone: (512) 443-2678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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