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1972327120
ANTHONY K WILLIS
CHARLOTTE, NC
NPI
1972327120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: NC 2024-12086-01)
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
ANTHONY K WILLIS PSS
2001 CATHERINE SIMMONS AVE
CHARLOTTE, NC 28216-4677
Phone number: 704-492-1533
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Mailing Address
ANTHONY K WILLIS PSS
326 HONEYWOOD AVE
CHARLOTTE, NC 28216-4041
Phone number: 910-391-0608
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