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1760813992
KISA WILLIS
COLUMBUS, GA
NPI
1760813992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-12-13
Last Update Date
2013-12-13
Business Address
KISA WILLIS
919 LAWYERS LN
COLUMBUS, GA 31906-3129
Phone number: 706-256-3200
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Mailing Address
KISA WILLIS
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number:
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