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1073033197
TRAVIS JON SHORT
LANSING, MI
NPI
1073033197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101023443)
Enumeration Date
2017-06-20
Last Update Date
2022-07-21
Business Address
-- TRAVIS JON SHORT DO
1200 E MICHIGAN AVE STE 245
LANSING, MI 48912-1897
Phone number: 517-364-5252
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Mailing Address
-- TRAVIS JON SHORT DO
1200 E MICHIGAN AVE STE 245
LANSING, MI 48912-1897
Phone number: 517-364-5252
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