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1376001214
LEWIS EDEL BERTUS
ROANOKE RAPIDS, NC
NPI
1376001214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11484)
Enumeration Date
2019-03-11
Last Update Date
2022-11-22
Business Address
Mr. LEWIS EDEL BERTUS PA-C
738 RALEIGH ST
ROANOKE RAPIDS, NC 27870-2919
Phone number: 423-310-4225
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Mailing Address
Mr. LEWIS EDEL BERTUS PA-C
738 RALEIGH ST
ROANOKE RAPIDS, NC 27870-2919
Phone number: 423-310-4225
Copy
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