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1710944657
MICHAEL J. WILLETS
SPRINGFIELD, OH
NPI
1710944657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT 179)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
-- MICHAEL J. WILLETS A.T.C.
700 S LIMESTONE ST
SPRINGFIELD, OH 45505-1941
Phone number: 937-328-2027
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Mailing Address
-- MICHAEL J. WILLETS A.T.C.
2734 COUNTRY SQUIRE DR
NEW CARLISLE, OH 45344-9566
Phone number: 937-845-1411
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