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1003148636
KEVIN TRAVIS WORTH
APO, AE
NPI
1003148636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: MN R 137390 1)
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
Mr. KEVIN TRAVIS WORTH RN
CMR 457
APO, AE 09033-9998
Phone number: 0972-196-6222
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Mailing Address
Mr. KEVIN TRAVIS WORTH RN
CMR 457 BOX 166
APO, AE 09033-0002
Phone number: 321-449-9080
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