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1164897583
DONALD RAY LEWIS
JACKSON, TN
NPI
1164897583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TN 803917)
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
Dr. DONALD RAY LEWIS
244 COATSLAND DR
JACKSON, TN 38301-3948
Phone number: 731-422-4642
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Mailing Address
Dr. DONALD RAY LEWIS
244 COATSLAND DR
JACKSON, TN 38301-3948
Phone number: 731-422-4642
Copy
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