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1164070363
JOHN BRENNAN TRAVIS
CLAREMORE, OK
NPI
1164070363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 117182)
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
Mr. JOHN BRENNAN TRAVIS RN
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-857-0365
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Mailing Address
Mr. JOHN BRENNAN TRAVIS RN
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-857-0365
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