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Individual

MR. TRAVIS MICHAEL WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
5302 GOLDFIELD ST, NORTH LAS VEGAS, NV 89031-2934
(702) 501-2740
Mailing address
10697 W CENTENNIAL PKWY APT 2076, LAS VEGAS, NV 89166-1510
(702) 501-2740

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506301
NV

Other

Enumeration date
05/18/2022
Last updated
05/18/2022
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