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1417408055
NATHAN LEWIS
MEDFORD, OR
NPI
1417408055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR T61948)
Enumeration Date
2016-10-19
Last Update Date
2021-01-06
Business Address
NATHAN LEWIS DPT
14 COTTAGE ST
MEDFORD, OR 97504-7332
Phone number: 541-301-2499
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Mailing Address
NATHAN LEWIS DPT
945 OAK ST
ASHLAND, OR 97520-1266
Phone number: 541-944-7711
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