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1356627822
TRAVIS DERRICK WHITE
KNOXVILLE, TN
NPI
1356627822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 16001)
Enumeration Date
2011-10-28
Last Update Date
2011-10-28
Business Address
-- TRAVIS DERRICK WHITE CRNA
341 TRANE DR
KNOXVILLE, TN 37919-6053
Phone number: 865-588-0880
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Mailing Address
-- TRAVIS DERRICK WHITE CRNA
341 TRANE DR
KNOXVILLE, TN 37919-6053
Phone number: 865-588-0880
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