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1114009610
RUTHIE L LEWIS
TYLERTOWN, MS
NPI
1114009610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P278719)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
-- RUTHIE L LEWIS LPN
423A BEULAH AVENUE
TYLERTOWN, MS 39667
Phone number: 601-876-6169
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Mailing Address
-- RUTHIE L LEWIS LPN
423A BEULAH AVENUE
TYLERTOWN, MS 39667
Phone number: 601-876-6169
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