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1790808871
TRAVIS M DAVIS
JACKSONVILLE, FL
NPI
1790808871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS31071)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
Mr. TRAVIS M DAVIS
12204 LAKE FERN DR
JACKSONVILLE, FL 32258-5367
Phone number: 904-403-7313
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Mailing Address
Mr. TRAVIS M DAVIS
12204 LAKE FERN DR
JACKSONVILLE, FL 32258-5367
Phone number: 904-403-7313
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