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Willie Davis, RKT

NPI 1558778936 · on the registry since 2014 · sole proprietor

Practice

Address
701 Duke Ave.
Hattiesbiurg, MS 39401
Phone
(601) 550-1164

Registry record

Primary taxonomy
251C00000X
251C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi