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1154951820
SHAYNA NICOLE LEWIS
BOSTON, MA
NPI
1154951820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
SHAYNA NICOLE LEWIS
635 COMMONWEALTH AVE
BOSTON, MA 02215-1605
Phone number: 818-437-1959
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Mailing Address
SHAYNA NICOLE LEWIS
13721 MAMMOTH PL
SHERMAN OAKS, CA 91423-6605
Phone number: 818-437-1959
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