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1063065167
TRAVIS THOMAS
KLAMATH FALLS, OR
NPI
1063065167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
TRAVIS THOMAS
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3524
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Mailing Address
TRAVIS THOMAS
2545 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6423
Phone number: 541-883-3524
Copy
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