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Individual

MR. WILLIE WILLIAMS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
(270) 956-0756
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
(270) 956-0756

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
42795
TN

Other

Enumeration date
01/27/2009
Last updated
01/27/2009
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