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Individual
TRAVIS E DEUSON
Active
Individual
TRAVIS E DEUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A69979
CA
207P00000X
Emergency Medicine Physician
L4335
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A699790
—
CA
Enumeration date
04/19/2006
Last updated
03/03/2008
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