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1184183279
ERICKA TRAVIS
YAZOO CITY, MS
NPI
1184183279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
Additional Taxonomies
126800000X Dental Assistant
251E00000X Home Health
Enumeration Date
2019-03-18
Last Update Date
2019-06-11
Business Address
ERICKA TRAVIS
106 S MAIN ST
YAZOO CITY, MS 39194-4008
Phone number: 601-214-2009
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Mailing Address
ERICKA TRAVIS
471 ROOSEVELT ST
CANTON, MS 39046-3535
Phone number:
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