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1487038048
DEREK JAMES TRAVIS
BERKELEY, CA
NPI
1487038048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-07-14
Last Update Date
2022-01-03
Business Address
-- DEREK JAMES TRAVIS
1621 BLAKE ST APT 6
BERKELEY, CA 94703-1865
Phone number: 925-899-7964
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Mailing Address
-- DEREK JAMES TRAVIS
1621 BLAKE ST APT 6
BERKELEY, CA 94703-1857
Phone number: 925-899-7964
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