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1427827492
LEWIS GORDON
MARIETTA, GA
NPI
1427827492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2024-01-01
Last Update Date
2024-05-25
Business Address
LEWIS GORDON
1857 KEITH DR SW
MARIETTA, GA 30064-4013
Phone number: 404-317-7642
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Mailing Address
LEWIS GORDON
1857 KEITH DR SW
MARIETTA, GA 30064-4013
Phone number:
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