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1104457787
FAWN LEWIS
MONUMENT, CO
NPI
1104457787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 8133471495)
Enumeration Date
2020-01-31
Last Update Date
2020-01-31
Business Address
FAWN LEWIS
16055 OLD FOREST PT STE 101B
MONUMENT, CO 80132-8670
Phone number: 719-247-8916
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Mailing Address
FAWN LEWIS
16055 OLD FOREST PT STE 101B
MONUMENT, CO 80132-8670
Phone number: 719-247-8916
Copy
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