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1700503604
LAURA LYNN WILLIS
WACO, TX
NPI
1700503604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1096590)
Enumeration Date
2022-10-21
Last Update Date
2022-11-18
Business Address
LAURA LYNN WILLIS APRN
7300 BOSQUE BLVD
WACO, TX 76710-4023
Phone number: 254-202-2600
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Mailing Address
LAURA LYNN WILLIS APRN
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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