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1588012967
ARDELIA WILLIS
DALLAS, TX
NPI
1588012967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
(Licence: TX 29433880)
Enumeration Date
2016-05-26
Last Update Date
2016-05-26
Business Address
-- ARDELIA WILLIS
1612 NOKOMIS AVE
DALLAS, TX 75224-3740
Phone number: 469-427-9531
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Mailing Address
-- ARDELIA WILLIS
1612 NOKOMIS AVE
DALLAS, TX 75224-3740
Phone number: 469-427-9531
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