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1477780757
WILLIAM TRAVIS EDWARDS
COLUMBIA, TN
NPI
1477780757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2009-06-15
Last Update Date
2009-06-15
Business Address
Mr. WILLIAM TRAVIS EDWARDS
2122 CIRCLE DR
COLUMBIA, TN 38401-4430
Phone number: 931-490-1480
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Mailing Address
Mr. WILLIAM TRAVIS EDWARDS
305 MALIBU CANYON DR
COLUMBIA, TN 38401-6802
Phone number: 810-513-6248
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