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1124107776
DONALD JOEL LEWIS-KRAITSIK
GALLUP, NM
NPI
1124107776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 15870)
Enumeration Date
2006-11-03
Last Update Date
2017-03-01
Business Address
-- DONALD JOEL LEWIS-KRAITSIK M.D.
516 E. NIZHONI BLVD.
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- DONALD JOEL LEWIS-KRAITSIK M.D.
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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