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Individual

MR. TRAVIS DONALD WARMOUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC,LAT

Contact information

Practice address
86 PINECREST DR, CONDO 7E, ESSEX JUNCTION, VT 05452-4413
(802) 881-9609
Mailing address
86 PINCREST DR., CONDO 7#, ESSEX JUNCTION, VT 05452
(802) 881-9609

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000171
VT

Other

Enumeration date
07/01/2009
Last updated
07/01/2009
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