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1407286016
TRAVIS WAITES
SAN ANTONIO, TX
NPI
1407286016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2013-11-18
Last Update Date
2013-11-18
Business Address
-- TRAVIS WAITES
10730 POTRANCO RD STE 122-260
SAN ANTONIO, TX 78251-3327
Phone number: 866-536-7629
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Mailing Address
-- TRAVIS WAITES
10730 POTRANCO RD STE 122-260
SAN ANTONIO, TX 78251-3327
Phone number: 866-536-7629
Copy
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