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1629846720
KIMBERLY SHARESE TRAVIS
MEMPHIS, TN
NPI
1629846720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
KIMBERLY SHARESE TRAVIS
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
KIMBERLY SHARESE TRAVIS
6522 BAYBROOK LN
MEMPHIS, TN 38134-7802
Phone number: 662-571-0393
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