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1013014547
DARRELL W LEWIS
WASHINGTON, MO
NPI
1013014547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 3014263)
Enumeration Date
2006-09-19
Last Update Date
2007-07-08
Business Address
-- DARRELL W LEWIS DMD
416 ELM ST
WASHINGTON, MO 63090-2310
Phone number: 636-239-2804
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Mailing Address
-- DARRELL W LEWIS DMD
416 ELM ST
WASHINGTON, MO 63090-2310
Phone number: 636-239-2804
Copy
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