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1871734145
TRAVIS T. CARLISLE
SYRACUSE, NY
NPI
1871734145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 610592)
Enumeration Date
2009-03-17
Last Update Date
2009-03-17
Business Address
-- TRAVIS T. CARLISLE CRNA
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-492-5522
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Mailing Address
-- TRAVIS T. CARLISLE CRNA
PO BOX 2005
EAST SYRACUSE, NY 13057-4505
Phone number: 315-362-5129
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