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1083067912
CLEOPHUS LEWIS
PORT ORANGE, FL
NPI
1083067912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 3915)
Enumeration Date
2016-07-15
Last Update Date
2016-07-15
Business Address
-- CLEOPHUS LEWIS
5535 S WILLIAMSON BLVD SUITE 774
PORT ORANGE, FL 32128-8311
Phone number: 334-233-1934
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Mailing Address
-- CLEOPHUS LEWIS
PO BOX 804
UNIONTOWN, AL 36786-0804
Phone number:
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