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1053963611
KATHLEEN LEWIS
SHELBY TOWNSHIP, MI
NPI
1053963611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704313036)
Enumeration Date
2019-07-14
Last Update Date
2019-07-18
Business Address
KATHLEEN LEWIS
46961 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317
Phone number: 586-991-5205
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Mailing Address
KATHLEEN LEWIS
517 HAWTHORN AVE
ROYAL OAK, MI 48067-3619
Phone number: 248-376-0908
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