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Ebbisse Williams
NPI 1235524893 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7557 Carillon Plz W
Woodbury, MN 55125 - Phone
- (612) 423-6754
- Fax
- (651) 735-6793
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-31
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 Minnesota