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1881443596
TRAVONTI SCOTT WALLACE
COLUMBUS, OH
NPI
1881443596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
TRAVONTI SCOTT WALLACE
627 GILBERT ST
COLUMBUS, OH 43205-2616
Phone number: 614-680-1354
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Mailing Address
TRAVONTI SCOTT WALLACE
627 GILBERT ST
COLUMBUS, OH 43205-2616
Phone number: 614-680-1354
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