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1255496881
LEWIS WESLEY KEEN
GRENADA, MS
NPI
1255496881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS R640557)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
MR. LEWIS WESLEY KEEN MSN CRNA
960 J K AVENT DR
GRENADA, MS 38901-5230
Phone number: 662-227-7375
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Mailing Address
MR. LEWIS WESLEY KEEN MSN CRNA
867 HAILE RD
GORE SPRINGS, MS 38929-9549
Phone number: 662-226-9889
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