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1194004150
DUSTIN JAMES LEWIS
REDDING, CA
NPI
1194004150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP20860)
Enumeration Date
2011-08-09
Last Update Date
2023-10-27
Business Address
DUSTIN JAMES LEWIS FNP
691 MARAGLIA ST STE C
REDDING, CA 96002-1029
Phone number: 530-222-3287
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Mailing Address
DUSTIN JAMES LEWIS FNP
691 MARAGLIA ST STE C
REDDING, CA 96002-1029
Phone number: 530-605-4680
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