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1487203469
ELLIETON BOBBY LEWIS
MIAMI GARDENS, FL
NPI
1487203469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
ELLIETON BOBBY LEWIS
1825 NW 167TH ST
MIAMI GARDENS, FL 33056-4838
Phone number: 786-263-3392
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Mailing Address
ELLIETON BOBBY LEWIS
1825 NW 167TH ST
MIAMI GARDENS, FL 33056-4838
Phone number: 786-263-3392
Copy
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