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1427250679
LANCE ALLEN WILLIS
MUSCLE SHOALS, AL
NPI
1427250679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH3368)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
-- LANCE ALLEN WILLIS RPT
1302 WOODWARD AVE
MUSCLE SHOALS, AL 35661-2236
Phone number: 256-386-0885
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Mailing Address
-- LANCE ALLEN WILLIS RPT
6891 6TH ST
LEIGHTON, AL 35646-3540
Phone number:
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