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1861510240
KONNEEN WILLIS
BOUNTIFUL, UT
NPI
1861510240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 107354-1206)
Enumeration Date
2007-03-26
Last Update Date
2021-02-25
Business Address
Ms. KONNEEN WILLIS PA
1551 RENAISSANCE TOWNE DR STE 460
BOUNTIFUL, UT 84010-7667
Phone number: 801-294-7246
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Mailing Address
Ms. KONNEEN WILLIS PA
1551 RENAISSANCE TOWNE DR STE 540
BOUNTIFUL, UT 84010-7678
Phone number: 801-408-7660
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