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1376144048
TRAVIS THOMAS PHILLIPS
MONROE, NC
NPI
1376144048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-11-08
Last Update Date
2020-11-08
Business Address
TRAVIS THOMAS PHILLIPS
2912 HARGETTE RD
MONROE, NC 28112-8142
Phone number: 336-653-6599
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Mailing Address
TRAVIS THOMAS PHILLIPS
2912 HARGETTE RD
MONROE, NC 28112-8142
Phone number: 336-653-6599
Copy
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