ALLIE WILLIS

DETROIT, MI
NPI1871050518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001414)
Enumeration Date2019-03-01
Last Update Date2019-03-01
Business Address
ALLIE WILLIS AT, ATC
6525 2ND AVE
DETROIT, MI 48202-3006
Phone number: 313-629-6234
Mailing Address
ALLIE WILLIS AT, ATC
5930 PARAMUS
CLARKSTON, MI 48346-2316
Phone number:
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