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1255982492
TRAVIS PETRICK
SHERMAN OAKS, CA
NPI
1255982492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: CA 95012917)
Enumeration Date
2019-09-27
Last Update Date
2019-09-27
Business Address
TRAVIS PETRICK NP
15353 WEDDINGTON ST APT C107
SHERMAN OAKS, CA 91411-3844
Phone number: 310-469-1374
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Mailing Address
TRAVIS PETRICK NP
15353 WEDDINGTON ST APT C107
SHERMAN OAKS, CA 91411-3844
Phone number: 310-469-1374
Copy
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