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1053440016
ELISE LEWIS
MARTINEZ, CA
NPI
1053440016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA a80179)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- ELISE LEWIS
2500 ALHAMBRA AVE
MARTINEZ, CA 94553-3156
Phone number: 925-370-5110
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Mailing Address
-- ELISE LEWIS
50 DOUGLAS DR SUITE 391
MARTINEZ, CA 94553-4098
Phone number: 925-957-5429
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