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1285385740
SHANDA LEWIS
GARDENA, CA
NPI
1285385740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95019042)
Enumeration Date
2022-01-15
Last Update Date
2022-01-15
Business Address
SHANDA LEWIS
2020 W 154TH ST
GARDENA, CA 90249-4223
Phone number: 310-433-7215
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Mailing Address
SHANDA LEWIS
2020 W 154TH ST
GARDENA, CA 90249-4223
Phone number: 310-433-7215
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