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1841949971
TRAVIS RICHARD MOODIE
KNOXVILLE, TN
NPI
1841949971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
TRAVIS RICHARD MOODIE
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920-1511
Phone number: 865-305-9340
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Mailing Address
TRAVIS RICHARD MOODIE
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920-1511
Phone number: 865-305-9340
Copy
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