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Individual

MS. JEANNE TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
58 MARYS LN, SCITUATE, MA 02066-2121
(781) 724-4737
Mailing address
58 MARYS LN, SCITUATE, MA 02066-2121

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
142163
MA

Other

Enumeration date
07/30/2010
Last updated
07/30/2010
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