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1821672619
TRAVIS LUX FERNALD
PITTSBURGH, PA
NPI
1821672619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-08
Last Update Date
2021-05-08
Business Address
TRAVIS LUX FERNALD DMD
320 E NORTH AVE STE 111
PITTSBURGH, PA 15212-4756
Phone number: 412-359-3685
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Mailing Address
TRAVIS LUX FERNALD DMD
706 N SHERIDAN AVE APT 2
PITTSBURGH, PA 15206-2521
Phone number: 484-356-7349
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