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1992990923
KIMBERLY RENEE WILLIS
RIDGELAND, MS
NPI
1992990923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT1719)
Enumeration Date
2007-09-12
Last Update Date
2007-09-12
Business Address
Mrs. KIMBERLY RENEE WILLIS PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
Mrs. KIMBERLY RENEE WILLIS PT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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