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1548205560
TRAVIS WAYNE HENSON
APPLE VALLEY, CA
NPI
1548205560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A85711)
Enumeration Date
2006-06-17
Last Update Date
2007-11-30
Business Address
TRAVIS WAYNE HENSON M.D
18300 HIGHWAY 18
APPLE VALLEY, CA 92307
Phone number: 760-242-2311
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Mailing Address
TRAVIS WAYNE HENSON M.D
2100 POWELL STREET STE 920
EMERYVILLE, CA 94608-1803
Phone number: 510-350-2600
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