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1508231234
WILLITA LEWIS
DALLAS, TX
NPI
1508231234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT5676)
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
Miss WILLITA LEWIS
9001 MARKVILLE DR 923
DALLAS, TX 75243-9341
Phone number: 219-798-6129
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Mailing Address
Miss WILLITA LEWIS
9001 MARKVILLE DR. 923
DALLAS, TX 75243
Phone number:
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