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1629412176
TRAVIS PANTIEL
TAMPA, FL
NPI
1629412176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-04-25
Last Update Date
2013-04-25
Business Address
-- TRAVIS PANTIEL
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-977-8700
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Mailing Address
-- TRAVIS PANTIEL
3303 N LAKEVIEW DR
TAMPA, FL 33618-1364
Phone number: 352-293-5126
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