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1326301508
CHRISTOPHER M WILLIS
MAGNOLIA, AR
NPI
1326301508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 2603)
Enumeration Date
2012-06-21
Last Update Date
2012-06-21
Business Address
Mr. CHRISTOPHER M WILLIS PTA
211 E STADIUM
MAGNOLIA, AR 71753-2032
Phone number: 870-234-7604
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Mailing Address
Mr. CHRISTOPHER M WILLIS PTA
1420 TERRACE
MAGNOLIA, AR 71753-2041
Phone number: 870-904-7571
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