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1679099410
TRAVIS AUSTIN BOISVERT
LANCASTER, CA
NPI
1679099410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-08-14
Last Update Date
2017-08-14
Business Address
TRAVIS AUSTIN BOISVERT
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
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Mailing Address
TRAVIS AUSTIN BOISVERT
2124 WINDFLOW DR
ROSAMOND, CA 93560-6115
Phone number: 661-526-8611
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