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1174388029
TRAVIS RAY WALDEN
KNOXVILLE, TN
NPI
1174388029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 100491)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
TRAVIS RAY WALDEN LPN
3105 ESSARY DR
KNOXVILLE, TN 37918-2409
Phone number: 865-637-9711
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Mailing Address
TRAVIS RAY WALDEN LPN
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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