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1073076071
DEVIN MICHAEL LEWIS
PADUCAH, KY
NPI
1073076071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3013225)
Enumeration Date
2019-04-08
Last Update Date
2020-08-21
Business Address
DEVIN MICHAEL LEWIS
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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Mailing Address
DEVIN MICHAEL LEWIS
143 TRAIL LOOP DR UNIT 103
PADUCAH, KY 42001-9584
Phone number: 205-317-3601
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