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1184466963
MIKAELAH LEWIS
STEPHENVILLE, TX
NPI
1184466963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO 170800185)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
MIKAELAH LEWIS
1000 E LINGLEVILLE RD APT 4020
STEPHENVILLE, TX 76401-2110
Phone number: 254-258-7082
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Mailing Address
MIKAELAH LEWIS
1000 E LINGLEVILLE RD APT 4020
STEPHENVILLE, TX 76401-2110
Phone number: 254-258-7082
Copy
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