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Individual
MARTIN R TRAVIS
Active
Individual
MARTIN R TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
955
SC
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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