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Individual
TRAVIS JOHN DANGELO
Active
Individual
TRAVIS JOHN DANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219588
VA
183500000X
Pharmacist
054669
NY
183500000X
Pharmacist
RP0007539
WV
Other
Enumeration date
08/10/2010
Last updated
08/31/2021
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