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1548495609
DAVE ALAN LEWIS
LUKE AFB, AZ
NPI
1548495609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2009-05-19
Last Update Date
2009-05-19
Business Address
DAVE ALAN LEWIS IDMT
14793 W CORSAIR ST
LUKE AFB, AZ 85309-1602
Phone number: 623-856-7340
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Mailing Address
DAVE ALAN LEWIS IDMT
12605 W SHERIDAN ST
AVONDALE, AZ 85392-6552
Phone number:
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