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1427640150
KELLY LEWIS
VICTORVILLE, CA
NPI
1427640150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95016605)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
KELLY LEWIS NP-C
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395-5794
Phone number: 760-241-8000
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Mailing Address
KELLY LEWIS NP-C
16850 BEAR VALLEY RD
VICTORVILLE, CA 92395-5794
Phone number: 760-241-8000
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