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1467641100
TRAVIS VANCE CROCKER
CORPUS CHRISTI, TX
NPI
1467641100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14739)
Enumeration Date
2007-10-18
Last Update Date
2007-10-18
Business Address
-- TRAVIS VANCE CROCKER D.D.S.
3060 S. ALAMEDA ST
CORPUS CHRISTI, TX 78404
Phone number: 361-882-1211
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Mailing Address
-- TRAVIS VANCE CROCKER D.D.S.
3060 S. ALAMEDA ST
CORPUS CHRISTI, TX 78404
Phone number: 361-882-1211
Copy
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