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1881632651
HEATH DAVID WILLIS
POPLAR BLUFF, MO
NPI
1881632651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO 2006001835)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
HEATH DAVID WILLIS A.T.C.
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3396
Phone number: 573-686-5985
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Mailing Address
HEATH DAVID WILLIS A.T.C.
1305 SARA LN
DEXTER, MO 63841-8247
Phone number: 573-624-5378
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