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1386203552
LEWIS ANTHONY STONEWALL
DETROIT, MI
NPI
1386203552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
LEWIS ANTHONY STONEWALL
7800 W OUTER DR STE 300
DETROIT, MI 48235-3458
Phone number: 248-378-8955
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Mailing Address
LEWIS ANTHONY STONEWALL
27085 GRATIOT AVE STE 101
ROSEVILLE, MI 48066-2984
Phone number: 586-204-5560
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