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Individual
TRAVIS WHITE
Active
Individual
TRAVIS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
01/17/2025
Last updated
03/17/2025
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