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Individual
TRAVIS BRINK
Active
Individual
TRAVIS BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
156715
SC
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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