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1770393415
TRAVIS SAMPLES
FORT WAYNE, IN
NPI
1770393415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2025-01-13
Last Update Date
2025-01-13
Business Address
TRAVIS SAMPLES PA-C
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number: 260-482-5091
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Mailing Address
TRAVIS SAMPLES PA-C
1796 BAYVIEW DR
FORT WAYNE, IN 46815-4219
Phone number: 734-807-1260
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