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1184995102
GWENDOLYN JEANETTE LEWIS
DALTON, GA
NPI
1184995102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: GA RN120677)
Enumeration Date
2012-01-23
Last Update Date
2012-01-23
Business Address
-- GWENDOLYN JEANETTE LEWIS NP
1200 MEMORIAL DR
DALTON, GA 30720-2529
Phone number: 423-664-4460
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Mailing Address
-- GWENDOLYN JEANETTE LEWIS NP
902 MCCALLIE AVE
CHATTANOOGA, TN 37403-2724
Phone number: 423-664-4460
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