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Individual

ALEXIS A WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1289 E LIVINGSTON AVE, COLUMBUS, OH 43205-2838
(614) 252-8402
Mailing address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-8402
(614) 252-7987

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.167905
OH

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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