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1144868555
KELLIE LOVE WILLIS
TALLAHASSEE, FL
NPI
1144868555
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Professional Name
KELLIE LOVE WILLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL ota14701)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
KELLIE LOVE WILLIS COTA/L
3492 MARTIN HURST RD
TALLAHASSEE, FL 32312-1702
Phone number: 850-294-9716
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Mailing Address
KELLIE LOVE WILLIS COTA/L
12495 HOLEY RD
TALLAHASSEE, FL 32317-9607
Phone number: 850-322-8219
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