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1043979057
MICHAEL TRAVIS
RIVERSIDE, CA
NPI
1043979057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
MICHAEL TRAVIS
10001 COUNTY FARM RD
RIVERSIDE, CA 92503-3507
Phone number: 951-358-4382
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Mailing Address
MICHAEL TRAVIS
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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