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1013425958
DATRA LEWIS
VIRGINIA BEACH, VA
NPI
1013425958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-12
Last Update Date
2018-01-12
Business Address
DATRA LEWIS
4490 HOLLAND OFFICE PARK OFC PARK101
VIRGINIA BEACH, VA 23452-1177
Phone number: 757-639-2218
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Mailing Address
DATRA LEWIS
4490 HOLLAND OFFICE PARK OFC PARK101
VIRGINIA BEACH, VA 23452-1177
Phone number:
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