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1407675366
REGINALD LEWIS
GRAND FORKS, ND
NPI
1407675366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172A00000X Driver
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
REGINALD LEWIS
215 S 4TH ST
GRAND FORKS, ND 58201-4737
Phone number: 701-787-1295
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Mailing Address
REGINALD LEWIS
215 S 4TH ST
GRAND FORKS, ND 58201-4737
Phone number:
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