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Individual
WILLIAM TRAVIS LISTON
Active
Individual
WILLIAM TRAVIS LISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018214
MI
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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