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1912399106
JONATHAN TRAVIS
LAS VEGAS, NV
NPI
1912399106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- JONATHAN TRAVIS
3171 S JONES BLVD
LAS VEGAS, NV 89146-6703
Phone number: 702-586-8693
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Mailing Address
-- JONATHAN TRAVIS
1020 HEBERDEEN CT
NORTH LAS VEGAS, NV 89032-7690
Phone number: 702-239-6043
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