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1134540941
JENNIFER WILLIS
SPOKANE, WA
NPI
1134540941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NV PA0275)
Enumeration Date
2013-12-20
Last Update Date
2022-11-29
Business Address
JENNIFER WILLIS MPAS, PA-C
217 W CATALDO AVE FL 3
SPOKANE, WA 99201-2217
Phone number: 509-747-6194
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Mailing Address
JENNIFER WILLIS MPAS, PA-C
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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