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1508548397
JEREMIAH N LEWIS
HUNTINGTON BEACH, CA
NPI
1508548397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA F8023095)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
JEREMIAH N LEWIS
6881 BREELAND DR
HUNTINGTON BEACH, CA 92647-3109
Phone number: 714-381-8419
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Mailing Address
JEREMIAH N LEWIS
6881 BREELAND DR
HUNTINGTON BEACH, CA 92647-3109
Phone number:
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