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1063823540
EDGAR LEWIS
LIVONIA, MI
NPI
1063823540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: MI CO0004213)
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
-- EDGAR LEWIS C.O.
16988 FARMINGTON RD
LIVONIA, MI 48154-2973
Phone number: 248-227-1408
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Mailing Address
-- EDGAR LEWIS C.O.
16988 FARMINGTON RD
LIVONIA, MI 48154-2973
Phone number: 248-227-1408
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