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1184093775
TRAVIS M WALLER
KINGWOOD, TX
NPI
1184093775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- TRAVIS M WALLER
4321 KINGWOOD DR SUITE 177
KINGWOOD, TX 77339-3700
Phone number: 281-883-6748
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Mailing Address
-- TRAVIS M WALLER
4321 KINGWOOD DR SUITE 177
KINGWOOD, TX 77339-3700
Phone number: 281-883-6748
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