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1720336225
TRAVIS VANDER SLOOT
EAST LANSING, MI
NPI
1720336225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
MR. TRAVIS VANDER SLOOT
2775 E LANSING DR
EAST LANSING, MI 48823-7755
Phone number: 517-332-1616
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Mailing Address
MR. TRAVIS VANDER SLOOT
309 W GENESEE ST
LANSING, MI 48933-1109
Phone number: 616-848-0382
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