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1760749337
TRAVIS DEYTON
KNOXVILLE, TN
NPI
1760749337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 16656)
Enumeration Date
2012-04-19
Last Update Date
2012-04-19
Business Address
-- TRAVIS DEYTON
1924 ALCOA HWY SUITE E 210
KNOXVILLE, TN 37920-1511
Phone number: 865-524-7471
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Mailing Address
-- TRAVIS DEYTON
7320 EDNA DR
KNOXVILLE, TN 37920-6689
Phone number:
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