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1588393029
ANGEL TRAVIS
GREENVILLE, SC
NPI
1588393029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: SC 108321)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
ANGEL TRAVIS
124 MALLARD ST
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
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Mailing Address
ANGEL TRAVIS
124 MALLARD ST
GREENVILLE, SC 29601-4046
Phone number: 864-241-1040
Copy
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