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1346499241
MARY E WILLIS
FORT LEAVENWORTH, KS
NPI
1346499241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
(Licence: KS 1378828-102)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
-- MARY E WILLIS RN
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6671
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Mailing Address
-- MARY E WILLIS RN
502 3RD ST PO BOX 184
WINCHESTER, KS 66097-4152
Phone number: 913-774-2024
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