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1225151954
KEITH WILLIS
DOWNEY, CA
NPI
1225151954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 21054)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
-- KEITH WILLIS PT
12200 BELLFLOWER BLVD
DOWNEY, CA 90242-2804
Phone number: 562-622-4362
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Mailing Address
-- KEITH WILLIS PT
12200 BELLFLOWER BLVD
DOWNEY, CA 90242-2804
Phone number: 562-622-4362
Copy
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