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1184997991
PRESTON LEWIS
BENTON, AR
NPI
1184997991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AR SPP8046)
Enumeration Date
2012-02-10
Last Update Date
2021-06-30
Business Address
Mr. PRESTON LEWIS SLP
3158 HALEY CT
BENTON, AR 72019-2068
Phone number: 501-555-5555
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Mailing Address
Mr. PRESTON LEWIS SLP
3158 HALEY CT
BENTON, AR 72019-2068
Phone number: 501-555-5555
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