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1104494079
BILLY CHARLES TRAVIS
PRESCOTT, AZ
NPI
1104494079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 13132)
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
BILLY CHARLES TRAVIS
948 CITY LGTS
PRESCOTT, AZ 86303-5958
Phone number: 832-439-3889
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Mailing Address
BILLY CHARLES TRAVIS
948 CITY LGTS
PRESCOTT, AZ 86303-5958
Phone number: 832-439-3889
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