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1215218821
GERALD A. LEWIS
FARMINGTON, NM
NPI
1215218821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
MR. GERALD A. LEWIS
1001 W BROADWAY
FARMINGTON, NM 87401-5638
Phone number: 505-566-0351
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Mailing Address
MR. GERALD A. LEWIS
1001 W BROADWAY
FARMINGTON, NM 87401-5638
Phone number: 505-566-0351
Copy
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