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1144925041
KIRT LEWIS
PARAMUS, NJ
NPI
1144925041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01465900)
Enumeration Date
2023-04-03
Last Update Date
2023-04-04
Business Address
KIRT LEWIS
4 FOREST AVE STE 201
PARAMUS, NJ 07652-5246
Phone number: 201-580-9726
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Mailing Address
KIRT LEWIS
4 FOREST AVE STE 201
PARAMUS, NJ 07652-5246
Phone number: 201-580-9726
Copy
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