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1811757867
TRAVIS WINSTON BOWEN
REDDING, CA
NPI
1811757867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 17717)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
TRAVIS WINSTON BOWEN
3590 EL PORTAL DR APT 15
REDDING, CA 96002-3154
Phone number: 530-722-1114
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Mailing Address
TRAVIS WINSTON BOWEN
467 BASALT CT
REDDING, CA 96003-3331
Phone number: 530-917-1116
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