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1285032367
TRAVIS HOUSEHOLDER
LAS VEGAS, NV
NPI
1285032367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA3037)
Enumeration Date
2014-12-05
Last Update Date
2024-07-09
Business Address
TRAVIS HOUSEHOLDER PA-C
3150 N TENAYA WAY STE 260
LAS VEGAS, NV 89128-0459
Phone number: 702-962-5920
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Mailing Address
TRAVIS HOUSEHOLDER PA-C
PO BOX 100744
ATLANTA, GA 30384-6666
Phone number:
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