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1487104139
TRAVIS SMITH
BISMARCK, ND
NPI
1487104139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- TRAVIS SMITH
313 S 11TH ST
BISMARCK, ND 58504-5621
Phone number: 209-818-1778
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Mailing Address
-- TRAVIS SMITH
313 S 11TH ST
BISMARCK, ND 58504-5621
Phone number: 209-818-1778
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