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1912385048
TRAVAUGHN MONTGOMERY
SANTA MONICA, CA
NPI
1912385048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-05-08
Last Update Date
2015-05-11
Business Address
-- TRAVAUGHN MONTGOMERY
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-450-4050
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Mailing Address
-- TRAVAUGHN MONTGOMERY
1453 16TH ST
SANTA MONICA, CA 90404-2715
Phone number: 310-450-4050
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