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1194251520
WILLIE ANDREW SCOTT
GRAND PRAIRIE, TX
NPI
1194251520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
-- WILLIE ANDREW SCOTT R.T.
5427 MAVERICK DR
GRAND PRAIRIE, TX 75052-2638
Phone number: 918-813-0442
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Mailing Address
-- WILLIE ANDREW SCOTT R.T.
PO BOX 594593
GRAND PRAIRIE, TX 75054
Phone number: 918-813-0442
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