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1255082095
JAKE EVAN LEWIS
DENVER, CO
NPI
1255082095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-01-13
Last Update Date
2024-03-18
Business Address
Mr. JAKE EVAN LEWIS MD
1960 N OGDEN ST STE 110
DENVER, CO 80218-3667
Phone number: 303-812-6850
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Mailing Address
Mr. JAKE EVAN LEWIS MD
1496 E SPRING GATE DR
HOLLADAY, UT 84117-6893
Phone number: 208-573-7653
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