WILLIE EARL SALLIS

FORT RUCKER, AL
NPI1689606709
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2006-07-07
Last Update Date2011-08-08
Business Address
-- WILLIE EARL SALLIS PA
301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL 36362-0701
Phone number: 334-255-7349
Mailing Address
-- WILLIE EARL SALLIS PA
301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC BLDING
FORT RUCKER, AL 36362-0701
Phone number: 334-255-7349
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