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1922270958
PHYLLIS LYNN WILLIS
DOTHAN, AL
NPI
1922270958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1074431)
Enumeration Date
2008-03-31
Last Update Date
2012-06-26
Business Address
-- PHYLLIS LYNN WILLIS CRNP
1901 MELBA DR
DOTHAN, AL 36301-3017
Phone number: 334-794-6611
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Mailing Address
-- PHYLLIS LYNN WILLIS CRNP
1901 MELBA DR
DOTHAN, AL 36301-3017
Phone number: 334-794-6611
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