KODY ALLEN WILLIS

LUBBOCK, TX
NPI1740780212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  841112)
Enumeration Date2018-02-20
Last Update Date2018-02-20
Business Address
KODY ALLEN WILLIS RN
5412 24TH ST
LUBBOCK, TX 79407-2130
Phone number: 432-935-1359
Mailing Address
KODY ALLEN WILLIS RN
5412 24TH ST
LUBBOCK, TX 79407-2130
Phone number:
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