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1548410012
TRAVIS B JENNEY
ATLANTA, GA
NPI
1548410012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 005385)
Enumeration Date
2008-09-22
Last Update Date
2011-09-29
Business Address
-- TRAVIS B JENNEY PAAA
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309-1281
Phone number: 404-351-1745
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Mailing Address
-- TRAVIS B JENNEY PAAA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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