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1164278198
TRAVIS LEE DEYOUNG
SANTA CRUZ, CA
NPI
1164278198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
Mr. TRAVIS LEE DEYOUNG
1510 CAPITOLA RD
SANTA CRUZ, CA 95062-2912
Phone number: 831-427-3500
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Mailing Address
Mr. TRAVIS LEE DEYOUNG
4580 PAUL SWEET RD
SANTA CRUZ, CA 95065-1016
Phone number: 831-588-0589
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