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1568113108
RICO LEWIS
HOUSTON, TX
NPI
1568113108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
242T00000X Perfusionist
(Licence: TX FPF00001203)
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
Mr. RICO LEWIS CCP
17581 RED OAK DR
HOUSTON, TX 77090-1247
Phone number: 360-250-0367
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Mailing Address
Mr. RICO LEWIS CCP
209 W 2ND ST UNIT 152
FORT WORTH, TX 76102-3021
Phone number: 360-250-0367
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