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1831221787
JEFFERY K WILLSON
KALAMAZOO, MI
NPI
1831221787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
MR. JEFFERY K WILLSON A.T.C.
315 TURWILL LN
KALAMAZOO, MI 49006-4231
Phone number: 269-343-8170
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Mailing Address
MR. JEFFERY K WILLSON A.T.C.
2312 LORRAINE AVE
KALAMAZOO, MI 49008-3932
Phone number:
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