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Individual

MR. JOHN EVAN WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
4810 WHITESPORT CIR SW, SUITE 110, HUNTSVILLE, AL 35801-7419
(256) 539-2531
(256) 533-0490
Mailing address
4810 WHITESPORT CIRCLE, ALABAMA SLEEP CLINIC SUITE 110, HUNTSVILLE, AL 35801
(256) 539-2531
(256) 533-0490

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-114309
AL

Other

Enumeration date
03/08/2011
Last updated
03/08/2011
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