Individual
MR. JEFFERY K WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
Mailing address
2312 LORRAINE AVE, KALAMAZOO, MI 49008-3932
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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