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1386214633
BRANDON ANTONIO LEWIS
LAWTON, OK
NPI
1386214633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-06-29
Last Update Date
2024-08-02
Business Address
BRANDON ANTONIO LEWIS MS
327 SW C AVE
LAWTON, OK 73501-4016
Phone number: 580-280-1988
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Mailing Address
BRANDON ANTONIO LEWIS MS
327 SW C AVE
LAWTON, OK 73501-4016
Phone number: 580-280-1988
Copy
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