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1689930265
TRAVIS DANIELSEN
DALLAS, TX
NPI
1689930265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-04-08
Last Update Date
2012-04-08
Business Address
-- TRAVIS DANIELSEN M.D.
5201 HARRY HINES BLVD GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235-7708
Phone number: 214-590-8058
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Mailing Address
-- TRAVIS DANIELSEN M.D.
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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