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1366971269
WILLIAM TRAVIS LISTON
SAGINAW, MI
NPI
1366971269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018214)
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
WILLIAM TRAVIS LISTON
515 N MICHIGAN AVE
SAGINAW, MI 48602-4316
Phone number: 989-583-2816
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Mailing Address
WILLIAM TRAVIS LISTON
8865 N 48TH ST
AUGUSTA, MI 49012-9636
Phone number: 269-209-3288
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