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1952804650
HEIDI JOONHEE KOOK-WILLIS
AUSTIN, TX
NPI
1952804650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP136938)
Enumeration Date
2018-03-09
Last Update Date
2018-03-09
Business Address
HEIDI JOONHEE KOOK-WILLIS AGNP-C
12731 RESEARCH BLVD STE 301C
AUSTIN, TX 78759-4383
Phone number: 512-257-0497
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Mailing Address
HEIDI JOONHEE KOOK-WILLIS AGNP-C
2100 E 10TH ST
AUSTIN, TX 78702-3412
Phone number: 512-657-7294
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