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1043919897
TRAVIS GAINES
REDLANDS, CA
NPI
1043919897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 49842)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
TRAVIS GAINES
1075 W STATE ST APT G202
REDLANDS, CA 92373-8141
Phone number: 805-340-7859
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Mailing Address
TRAVIS GAINES
700 E HIGHLAND AVE
REDLANDS, CA 92374-6233
Phone number:
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