DEJUAN LEWIS

AUSTIN, TX
NPI1073090395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX  2000033700)
Enumeration Date2018-07-20
Last Update Date2018-07-20
Business Address
DEJUAN LEWIS M.ED, ATC
11301 FARRAH LANE APT 837
AUSTIN, TX 78748
Phone number: 314-761-1310
Mailing Address
DEJUAN LEWIS M.ED, ATC
11301 FARRAH UNIT 837
AUSTIN, TX 78748-7908
Phone number: 314-761-1310
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