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1467064832
KENNETH ROBERT LEWIS
ROCHESTER, NY
NPI
1467064832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: NY NYCPS-P-3799)
Enumeration Date
2020-08-18
Last Update Date
2020-08-18
Business Address
KENNETH ROBERT LEWIS NYCPS-3799
320 N GOODMAN ST STE 202320
ROCHESTER, NY 14607-1185
Phone number: 585-325-3145
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Mailing Address
KENNETH ROBERT LEWIS NYCPS-3799
320 N GOODMAN ST
ROCHESTER, NY 14607-1185
Phone number: 585-325-3145
Copy
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