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Individual
WILLIAM ENNIS JR.
Active
Individual
WILLIAM ENNIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C05019
MD
Other
Enumeration date
04/04/2013
Last updated
05/30/2024
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