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1033851373
DIVINA DAGATAN LEWIS
CORPUS CHRISTI, TX
NPI
1033851373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1074506)
Enumeration Date
2022-04-07
Last Update Date
2022-05-04
Business Address
DIVINA DAGATAN LEWIS NP
5440 OLD BROWNSVILLE RD
CORPUS CHRISTI, TX 78417-9765
Phone number: 361-452-1151
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Mailing Address
DIVINA DAGATAN LEWIS NP
5440 OLD BROWNSVILLE RD
CORPUS CHRISTI, TX 78417-9765
Phone number: 361-452-1151
Copy
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