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1225295777
CAROLYN A TRAVIS
VANCOUVER, WA
NPI
1225295777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 7467)
Enumeration Date
2008-05-21
Last Update Date
2008-05-21
Business Address
-- CAROLYN A TRAVIS PTA
12607 SE MILL PLAIN BLVD MODULE F
VANCOUVER, WA 98684-6055
Phone number: 360-944-2813
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Mailing Address
-- CAROLYN A TRAVIS PTA
1115 NE KEYES RD APT D1
VANCOUVER, WA 98684-7360
Phone number: 360-944-6869
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