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1255906707
LISA LOUISE WILLIS
MOUNT VERNON, OH
NPI
1255906707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.0028897)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
LISA LOUISE WILLIS
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050-1495
Phone number: 740-393-9000
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Mailing Address
LISA LOUISE WILLIS
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050-1495
Phone number: 740-393-9000
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