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1184764003
JOSEPH C WILLIS
TUPELO, MS
NPI
1184764003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT1650)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
MR. JOSEPH C WILLIS P.T.
1893 S EASON BLVD
TUPELO, MS 38804-5953
Phone number: 662-840-2888
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Mailing Address
MR. JOSEPH C WILLIS P.T.
PO BOX 4
TUPELO, MS 38802-0004
Phone number: 662-840-2888
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