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Individual

TRAVIS J WALLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
701 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1919
(270) 737-7597
(270) 737-7756
Mailing address
415 CARDINAL DR, ELIZABETHTOWN, KY 42701-2769
(270) 737-7597
(270) 737-7756

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5138
KY

Other

Enumeration date
07/17/2008
Last updated
07/17/2008
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