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1376026377
JAEKISHA D LEWIS
ALBUQUERQUE, NM
NPI
1376026377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
JAEKISHA D LEWIS
2600 MARBLE AVE NE
ALBUQUERQUE, NM 87106-2058
Phone number: 505-272-2479
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Mailing Address
JAEKISHA D LEWIS
2600 MARBLE AVE NE
ALBUQUERQUE, NM 87106-2058
Phone number: 505-272-2479
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