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1487654489
BRANDON J. LEWIS
GRAND PRAIRIE, TX
NPI
1487654489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: TX 1574)
Enumeration Date
2005-08-01
Last Update Date
2010-08-16
Business Address
BRANDON J. LEWIS DPM
504 N CARRIER PKWY
GRAND PRAIRIE, TX 75050-5428
Phone number: 972-263-7042
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Mailing Address
BRANDON J. LEWIS DPM
504 N CARRIER PKWY
GRAND PRAIRIE, TX 75050-5428
Phone number: 972-263-7042
Copy
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