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1366095705
JESSICA HT LEWIS
CLAYMONT, DE
NPI
1366095705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
Ms. JESSICA HT LEWIS
2506 WILSON AVE
CLAYMONT, DE 19703-1871
Phone number: 302-593-5005
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Mailing Address
Ms. JESSICA HT LEWIS
2506 WILSON AVE
CLAYMONT, DE 19703-1871
Phone number: 302-593-5005
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