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1962260547
TRAVIS WILLIAM MOE
LOS ANGELES, CA
NPI
1962260547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
TRAVIS WILLIAM MOE
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
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Mailing Address
TRAVIS WILLIAM MOE
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
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