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1205445418
LATINA LEWIS
AMARILLO, TX
NPI
1205445418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1005240)
Enumeration Date
2020-07-24
Last Update Date
2020-07-24
Business Address
LATINA LEWIS
3501 S SONCY RD STE 110
AMARILLO, TX 79119-6405
Phone number: 806-353-1400
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Mailing Address
LATINA LEWIS
PO BOX 8337
AMARILLO, TX 79114-8337
Phone number: 806-355-6593
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