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1861948275
TRAVIS R TAYLOR
TUSTIN, CA
NPI
1861948275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 88555)
Enumeration Date
2016-08-27
Last Update Date
2018-06-25
Business Address
MR. TRAVIS R TAYLOR MS LMFT
17662 IRVINE BLVD STE 7
TUSTIN, CA 92780
Phone number: 949-415-8728
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Mailing Address
MR. TRAVIS R TAYLOR MS LMFT
13530 AMANDA DR
CHINO, CA 91710-4782
Phone number: 909-816-9417
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