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1528039021
WAYNE S WILLIS MD LLC
PENSACOLA, FL
NPI
1528039021
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Entity Type
Organization
Authorized Contact
WAYNE S. WILLIS
President
850-438-9755
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-02-01
Last Update Date
2013-02-05
Business Address
WAYNE S WILLIS MD LLC
3111 PEGGY BOND DR
PENSACOLA, FL 32504-5018
Phone number: 850-438-9755
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Mailing Address
WAYNE S WILLIS MD LLC
3111 PEGGY BOND DR
PENSACOLA, FL 32504-5018
Phone number: 850-438-9755
Copy
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