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1467101857
JONATHAN RAY LEWIS
BENBROOK, TX
NPI
1467101857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
JONATHAN RAY LEWIS
6211 SOUTHWEST BLVD
BENBROOK, TX 76132-1080
Phone number: 817-310-8792
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Mailing Address
JONATHAN RAY LEWIS
3150 GARRISON RD APT 921
CORINTH, TX 76210-1820
Phone number: 843-901-7726
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