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Individual

BONNIE MARIE WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.,L.D.

Contact information

Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 263-8194
(330) 263-8197
Mailing address
509 PARK ST NW, NAVARRE, OH 44662-1061
(330) 263-8194
(330) 263-8197

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 4067
OH

Other

Enumeration date
09/25/2007
Last updated
09/25/2007
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