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1083981419
WANDA BLANCHE TRAVIS
TUBA CITY, AZ
NPI
1083981419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KY 1099703)
Enumeration Date
2011-11-30
Last Update Date
2011-11-30
Business Address
Mrs. WANDA BLANCHE TRAVIS RN,SANE
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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Mailing Address
Mrs. WANDA BLANCHE TRAVIS RN,SANE
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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