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Individual

SALLY WILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
824 BOWTOWN RD, DELAWARE, OH 43015-9661
(740) 695-7795
(740) 362-4411
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/15/2026
Last updated
05/15/2026
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