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1720640493
TRAVIS JEFFREY HAANSTAD
CHATTANOOGA, TN
NPI
1720640493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-02
Last Update Date
2019-07-02
Business Address
TRAVIS JEFFREY HAANSTAD
615 MCCALLIE AVE
CHATTANOOGA, TN 37403-2504
Phone number: 423-425-4111
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Mailing Address
TRAVIS JEFFREY HAANSTAD
3131 MOUNTAIN CREEK RD APT 6C7
CHATTANOOGA, TN 37415-7252
Phone number: 715-581-4601
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