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1518203322
JEFFREY WAYNE LEWIS
MARIETTA, GA
NPI
1518203322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA 115)
Enumeration Date
2012-12-26
Last Update Date
2012-12-26
Business Address
MR. JEFFREY WAYNE LEWIS COTA
4471 BUTTONWOOD CT NW
MARIETTA, GA 30064-5600
Phone number: 678-354-7844
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Mailing Address
MR. JEFFREY WAYNE LEWIS COTA
4471 BUTTONWOOD CT NW
MARIETTA, GA 30064-5600
Phone number: 678-354-7844
Copy
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