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1306911300
BRANT WALTER LEWIS
CLACKAMAS, OR
NPI
1306911300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 1870)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Mr. BRANT WALTER LEWIS P.T.
14851 SE 82ND DR
CLACKAMAS, OR 97015-7624
Phone number: 503-656-0139
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Mailing Address
Mr. BRANT WALTER LEWIS P.T.
14851 SE 82ND DR
CLACKAMAS, OR 97015-7624
Phone number: 503-656-0139
Copy
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