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1215965751
MARK A WILLIS
GADSDEN, AL
NPI
1215965751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH3505)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
MR. MARK A WILLIS RPT
1514 OWENS ST
GADSDEN, AL 35904-4938
Phone number: 256-543-1030
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Mailing Address
MR. MARK A WILLIS RPT
1514 OWENS ST
GADSDEN, AL 35904-4938
Phone number: 256-543-1030
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