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1891817169
TRAVIS JAMES MAGELSEN
MONROE, WA
NPI
1891817169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WA DE 9033)
Enumeration Date
2007-04-06
Last Update Date
2007-07-08
Business Address
TRAVIS JAMES MAGELSEN DMD
128 N BLAKELEY ST
MONROE, WA 98272-1823
Phone number: 360-794-8292
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Mailing Address
TRAVIS JAMES MAGELSEN DMD
PO BOX 400 128 NORTH BLAKELY
MONROE, WA 98272-0400
Phone number: 360-794-8292
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