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1609235571
TRAVIS BOATIN
COVINA, CA
NPI
1609235571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-02-19
Last Update Date
2016-03-17
Business Address
-- TRAVIS BOATIN
1126 N GRAND AVE
COVINA, CA 91724-1551
Phone number: 626-967-1667
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Mailing Address
-- TRAVIS BOATIN
1569 MCLEOD PL
POMONA, CA 91768-1349
Phone number: 909-802-3035
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