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1922319417
TRAVIS JOHN VIZIER
JACKSON, MS
NPI
1922319417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R884319)
Enumeration Date
2010-06-29
Last Update Date
2010-12-17
Business Address
-- TRAVIS JOHN VIZIER CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5900
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Mailing Address
-- TRAVIS JOHN VIZIER CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5900
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