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1104458389
CRYSTAL ROLLO TRAVIS
BIRMINGHAM, AL
NPI
1104458389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
-- CRYSTAL ROLLO TRAVIS PA
1802 6TH AVE S
BIRMINGHAM, AL 35233-1932
Phone number: 205-934-4206
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Mailing Address
-- CRYSTAL ROLLO TRAVIS PA
1802 6TH AVE S
BIRMINGHAM, AL 35233-1932
Phone number: 205-934-4206
Copy
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