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1144471749
GREGORY ALAN LEWIS
TUCKER, GA
NPI
1144471749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2074983)
Enumeration Date
2008-10-02
Last Update Date
2010-10-01
Business Address
-- GREGORY ALAN LEWIS PTA
1979 LAKESIDE PKWY SUITE 800
TUCKER, GA 30084-5935
Phone number: 800-849-5502
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Mailing Address
-- GREGORY ALAN LEWIS PTA
761 N SAN MARCOS ST
SEGUIN, TX 78155-4248
Phone number: 412-445-0426
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