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1447765136
JAYNA NICHOLE WILLIS
BOWLING GREEN, KY
NPI
1447765136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 142455)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
Mrs. JAYNA NICHOLE WILLIS M.S. CCC-SLP
1381 CAMPBELL LN
BOWLING GREEN, KY 42104-1049
Phone number: 270-843-0587
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Mailing Address
Mrs. JAYNA NICHOLE WILLIS M.S. CCC-SLP
239 W MCLELLAN RD
BOWLING GREEN, KY 42101-8891
Phone number: 270-784-7690
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