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1114507357
DEVON LEWIS
SAN DIEGO, CA
NPI
1114507357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 12151354-1206)
Enumeration Date
2021-04-12
Last Update Date
2022-06-08
Business Address
DEVON LEWIS
555 W C ST STE 102
SAN DIEGO, CA 92101-8470
Phone number: 858-554-1212
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Mailing Address
DEVON LEWIS
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037-1208
Phone number: 858-554-1212
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