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1578274270
TRAVIS GAINES
PRESTONSBURG, KY
NPI
1578274270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
TRAVIS GAINES
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
TRAVIS GAINES
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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