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1457008914
WILLIAM GLEN TRAVIS
BIRMINGHAM, AL
NPI
1457008914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: AL 1-180703)
Enumeration Date
2022-03-04
Last Update Date
2022-03-04
Business Address
Mr. WILLIAM GLEN TRAVIS
908 20TH ST S
BIRMINGHAM, AL 35205-2610
Phone number: 205-934-9715
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Mailing Address
Mr. WILLIAM GLEN TRAVIS
908 20TH ST S
BIRMINGHAM, AL 35205-2610
Phone number: 205-934-9715
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