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1366272395
TRE MACIO LEWIS
PEORIA, AZ
NPI
1366272395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
TRE MACIO LEWIS
12740 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381-8100
Phone number: 602-432-0160
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Mailing Address
TRE MACIO LEWIS
12563 W MULBERRY DR
AVONDALE, AZ 85392-6373
Phone number: 602-432-0160
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