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1427178409
DOUGLAS JAMES WILLETTE
DALLAS, TX
NPI
1427178409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 86001508A)
Enumeration Date
2007-03-31
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS JAMES WILLETTE PTA
325 N SAINT PAUL ST SUITE 4200
DALLAS, TX 75201-3801
Phone number: 866-953-0011
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Mailing Address
Mr. DOUGLAS JAMES WILLETTE PTA
3510 LOWDEN ST
KALAMAZOO, MI 49008-2638
Phone number: 269-385-5999
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