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1376328807
TRAVIS KENNETH LANE
HOUSTON, TX
NPI
1376328807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: TX NA0060011422)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
TRAVIS KENNETH LANE CNA
9900 RICHMOND AVE APT 813
HOUSTON, TX 77042-4538
Phone number: 314-299-0229
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Mailing Address
TRAVIS KENNETH LANE CNA
9900 RICHMOND AVE APT 813
HOUSTON, TX 77042-4538
Phone number: 314-299-0229
Copy
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