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1396001921
TRAVIS CHARLES WADE
MELBOURNE, FL
NPI
1396001921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
MR. TRAVIS CHARLES WADE BS
326 CROTON RD
MELBOURNE, FL 32935-6340
Phone number: 321-752-3170
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Mailing Address
MR. TRAVIS CHARLES WADE BS
326 CROTON RD
MELBOURNE, FL 32935-6340
Phone number: 321-752-3170
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