LISA WILLIS

PERU, IN
NPI1114192051
Former NameLISA MATHIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-04-22
Last Update Date2012-06-18
Business Address
-- LISA WILLIS BGS
655 E MAIN ST
PERU, IN 46970-2662
Phone number: 765-472-1931
Mailing Address
-- LISA WILLIS BGS
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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