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1922181999
TRAVIS W. WILSON
BEAVER DAM, KY
NPI
1922181999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 7199)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
Dr. TRAVIS W. WILSON D.M.D.
1042 N MAIN ST
BEAVER DAM, KY 42320-1553
Phone number: 270-274-3645
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Mailing Address
Dr. TRAVIS W. WILSON D.M.D.
1042 N MAIN ST
BEAVER DAM, KY 42320-1553
Phone number: 270-274-3645
Copy
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