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1467609883
DEETRA LEWIS
MONTICELLO, AR
NPI
1467609883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-08-27
Last Update Date
2018-09-12
Business Address
DEETRA LEWIS QBHP
139C E JACKSON AVE
MONTICELLO, AR 71655-4933
Phone number: 870-224-8108
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Mailing Address
DEETRA LEWIS QBHP
139C E JACKSON AVE
MONTICELLO, AR 71655-4933
Phone number: 870-224-8108
Copy
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