NPI Details | |
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NPI | 1457790693 |
Gender | Male |
Enumeration Date | 06/20/2013 |
Last Updated | 06/20/2013 |
Entity Type | Individual |
Active | Over 4 years ago |
Practice Location | |
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72 W 11TH ST SUITE A TRACY CA, 95376-3906, US |
|
Phone | (209) 814-7451 |
Fax |
Business Location | |
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72 W 11TH ST SUITE A TRACY CA, 95376-3906, US |
|
Phone | (209) 814-7451 |
Fax |
Toxanomy | |
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Taxonomy Code | 101YA0400X |
License State | |
License Number | |
Remove 1457790693 NPI Number |
According to our database, Willie Lee Woods NPI is 1457790693, taxonomy code is 101YA0400X Willie Lee Woods physically located at 72 W 11th St, Tracy CA, 95376-3906. NPI Number Willie Lee Woods has the Individual type.
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1457790693 NPI number is provided on an as is basis without warranty of any kind. 1457790693 is maintained by the National Plan & Provider Enumeration System. The contents of Willie Lee Woods are for informational purposes only.
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