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1710538657
TRAVIS TERRANOVA
FORT WORTH, TX
NPI
1710538657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
TRAVIS TERRANOVA
1201 WESLEYAN ST
FORT WORTH, TX 76105-1536
Phone number: 917-531-7586
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Mailing Address
TRAVIS TERRANOVA
3421 RIVEROAD CT APT 2501
FORT WORTH, TX 76116-0686
Phone number:
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