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1396760385
TRAVIS LEE PAGE
CALDWELL, ID
NPI
1396760385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-345)
Enumeration Date
2006-07-12
Last Update Date
2020-09-11
Business Address
Dr. TRAVIS LEE PAGE D.O.
2523 S 10TH AVE STE 103
CALDWELL, ID 83605-6760
Phone number: 208-459-7788
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Mailing Address
Dr. TRAVIS LEE PAGE D.O.
3131 SHAY WAY
NYSSA, OR 97913-5052
Phone number: 541-212-2305
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