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1023123627
DEDE B LEWIS
SALT LAKE CITY, UT
NPI
1023123627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: UT 114238-2401)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- DEDE B LEWIS P.T.
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-7542
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Mailing Address
-- DEDE B LEWIS P.T.
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number:
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