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1174976773
TERRY HUBERT LEWIS
PORTAGE, MI
NPI
1174976773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704238831)
Enumeration Date
2016-07-19
Last Update Date
2016-08-19
Business Address
-- TERRY HUBERT LEWIS NP-C
2725 AIRVIEW BLVD
PORTAGE, MI 49002-1803
Phone number: 269-349-8386
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Mailing Address
-- TERRY HUBERT LEWIS NP-C
8137 E CREE LAKE DR S
KENDALLVILLE, IN 46755-9721
Phone number: 269-349-8386
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