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Individual
TRAVIS DOGAN
Active
Individual
TRAVIS DOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
221569
SC
251C00000X
Developmentally Disabled Services Day Training Agency
221569
SC
251E00000X
Home Health Agency
Primary
—
SC
251S00000X
Community/Behavioral Health Agency
221569
SC
253Z00000X
In Home Supportive Care Agency
221569
SC
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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