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1396070769
MICHAEL SHANNON LEWIS
COLUMBUS, OH
NPI
1396070769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OH A0909042)
Enumeration Date
2009-10-02
Last Update Date
2013-05-14
Business Address
Mr. MICHAEL SHANNON LEWIS NP-C
170 TAYLOR STATION RD
COLUMBUS, OH 43213-4441
Phone number: 614-851-7551
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Mailing Address
Mr. MICHAEL SHANNON LEWIS NP-C
3583 ZINER CT
GROVE CITY, OH 43123-4815
Phone number: 614-394-4969
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