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1437923745
ETHAN A LEWIS
JACKSON, MI
NPI
1437923745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
ETHAN A LEWIS
1200 N WEST AVE STE 400
JACKSON, MI 49202-2180
Phone number: 517-780-3336
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Mailing Address
ETHAN A LEWIS
1200 N WEST AVE STE 400
JACKSON, MI 49202-2180
Phone number: 517-780-3336
Copy
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