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1922789932
TRAVIS WHALEN
MEDFORD, OR
NPI
1922789932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: OR 20003)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
TRAVIS WHALEN LMT
820 CRATER LAKE AVE STE 113
MEDFORD, OR 97504-6581
Phone number: 541-262-6290
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Mailing Address
TRAVIS WHALEN LMT
1508 LARKSPUR AVE
MEDFORD, OR 97504-5554
Phone number:
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