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1922304476
TRAVIS ALLEN
BAKER, MT
NPI
1922304476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT 645)
Enumeration Date
2011-02-01
Last Update Date
2016-04-27
Business Address
-- TRAVIS ALLEN PA
202 S 4TH ST W
BAKER, MT 59313-9156
Phone number: 406-778-3331
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Mailing Address
-- TRAVIS ALLEN PA
202 S 4TH ST W
BAKER, MT 59313-9156
Phone number: 406-778-3331
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