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Olivia S Willis

Case Manager/Care Coordinator in Minot, ND. Individual provider (NPI-1).

NPI number1689239709
StatusActive
Last updated in NPPESMay 3, 2019

Details

NPI
1689239709
Entity type
Individual (NPI-1)
Name
Olivia S Willis
Sex
Female
Sole proprietor
Yes
Enumeration date
May 3, 2019
Last updated
May 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1015 S Broadway Ste 18
Minot, ND 58701-4667

Phone 701-857-8500 · Fax 701-857-8555

Mailing address

1015 S Broadway Ste 18
Minot, ND 58701-4667

Phone 701-857-8500 · Fax 701-857-8555

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