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1255456604
KATHI JO TRAVAILLE
MANKATO, MN
NPI
1255456604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: MN A9553)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mrs. KATHI JO TRAVAILLE CRDA
304 BELLE AVE
MANKATO, MN 56001-5250
Phone number: 507-344-8698
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Mailing Address
Mrs. KATHI JO TRAVAILLE CRDA
605 HILLCREST AVE STE 130
OWATONNA, MN 55060-3680
Phone number: 507-451-0290
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