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1508559956
AMANDA MCCORMICK WILLIS
BOAZ, AL
NPI
1508559956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1094434)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
AMANDA MCCORMICK WILLIS CRNP
2986 US HIGHWAY 431
BOAZ, AL 35957-5848
Phone number: 256-840-8181
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Mailing Address
AMANDA MCCORMICK WILLIS CRNP
PO BOX 697
BOAZ, AL 35957-0697
Phone number: 256-840-8181
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