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1922419605
BRADLEY WILLIS
ATHENS, IL
NPI
1922419605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174M00000X Veterinarian
(Licence: IL 090008708)
Enumeration Date
2014-05-15
Last Update Date
2014-05-15
Business Address
Dr. BRADLEY WILLIS
105 N MAIN ST
ATHENS, IL 62613-8901
Phone number: 217-636-7388
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Mailing Address
Dr. BRADLEY WILLIS
PO BOX 65
ATHENS, IL 62613-0065
Phone number:
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