HEATH DAVID WILLIS

POPLAR BLUFF, MO
NPI1881632651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2006001835)
Enumeration Date2006-06-03
Last Update Date2007-07-08
Business Address
-- HEATH DAVID WILLIS A.T.C.
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3396
Phone number: 573-686-5985
Mailing Address
-- HEATH DAVID WILLIS A.T.C.
1305 SARA LN
DEXTER, MO 63841-8247
Phone number: 573-624-5378
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