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1558710095
TRAVIS JOE
LONG BEACH, CA
NPI
1558710095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-06-06
Last Update Date
2016-06-06
Business Address
TRAVIS JOE
900 E WARDLOW RD
LONG BEACH, CA 90807-4630
Phone number: 562-595-4525
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Mailing Address
TRAVIS JOE
900 E WARDLOW RD
LONG BEACH, CA 90807-4630
Phone number: 562-595-4525
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