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1003880667
WAYNE S WILLIS
PENSACOLA, FL
NPI
1003880667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME25944)
Enumeration Date
2006-02-13
Last Update Date
2013-02-05
Business Address
-- WAYNE S WILLIS MD
3111 PEGGY BOND DR
PENSACOLA, FL 32504-5018
Phone number: 850-438-9755
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Mailing Address
-- WAYNE S WILLIS MD
3111 PEGGY BOND DR
PENSACOLA, FL 32504-5018
Phone number: 850-438-9755
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