TRAVIS VAN DEATON

GRANGER, IN
NPI1952547903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-12-22
Last Update Date2015-04-27
Business Address
Mr. TRAVIS VAN DEATON
51960 GUMWOOD RD.
GRANGER, IN 46530-7068
Phone number: 574-247-4665
Mailing Address
Mr. TRAVIS VAN DEATON
51960 GUMWOOD RD
GRANGER, IN 46530-6207
Phone number: 574-247-4665
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