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1346731866
WANDA M LEWIS
CLARKSTON, MI
NPI
1346731866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704283277)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
WANDA M LEWIS FNP
10112 WINDY KNOLL CT
CLARKSTON, MI 48348-2182
Phone number: 254-630-9421
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Mailing Address
WANDA M LEWIS FNP
10112 WINDY KNOLL CT
CLARKSTON, MI 48348-2182
Phone number: 254-630-9421
Copy
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