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1700222437
TRAVIS R HENDERSON
RICHLAND, WA
NPI
1700222437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: WA PA60315601)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
TRAVIS R HENDERSON PA-C
310 TORBETT ST
RICHLAND, WA 99354-2604
Phone number: 509-946-7646
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Mailing Address
TRAVIS R HENDERSON PA-C
310 TORBETT ST
RICHLAND, WA 99354-2604
Phone number: 509-946-7646
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