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Individual

MR. DANIEL RAY TRAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
3404 KAYDENCE CT, KILLEEN, TX 76542-3338
(254) 553-6002
Mailing address
8202 WELLCREST DR, KILLEEN, TX 76542-6693
(719) 323-1872

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
160603
TX
164X00000X
Licensed Vocational Nurse
Primary
160603
TX

Other

Enumeration date
09/08/2021
Last updated
10/19/2021
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