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1497799811
MATTHEW M LEWIS
BEAUMONT, TX
NPI
1497799811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX TX1374)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
MATTHEW M LEWIS LAT. ATC
8420 ANASTASIA AVE
BEAUMONT, TX 77705-9423
Phone number: 409-794-1272
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Mailing Address
MATTHEW M LEWIS LAT. ATC
8420 ANASTASIA AVE
BEAUMONT, TX 77705-9423
Phone number: 409-794-1272
Copy
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