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1639413966
CRYSTAL LYNN WILLIS
ATHENS, GA
NPI
1639413966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA 002045)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
Mrs. CRYSTAL LYNN WILLIS PTA
775 SUNSET DR
ATHENS, GA 30606-2211
Phone number: 706-425-1543
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Mailing Address
Mrs. CRYSTAL LYNN WILLIS PTA
935 LEM EDWARDS RD
WINTERVILLE, GA 30683-2021
Phone number: 706-255-1093
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