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1134824212
SAMANTHA MARIE TRAVIS
RALEIGH, NC
NPI
1134824212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-30
Last Update Date
2023-03-30
Business Address
SAMANTHA MARIE TRAVIS
5121 KINGDOM WAY
RALEIGH, NC 27607-6062
Phone number: 800-442-2767
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Mailing Address
SAMANTHA MARIE TRAVIS
114 LAKE HICKORY CT
CARY, NC 27519-9504
Phone number: 919-670-8041
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