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1578019055
BRIAN LEWIS
GLENDORA, CA
NPI
1578019055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-25
Last Update Date
2016-08-29
Business Address
-- BRIAN LEWIS
1720 BONNIE COVE AVE 5
GLENDORA, CA 91740-6018
Phone number: 619-840-3970
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Mailing Address
-- BRIAN LEWIS
1720 BONNIE COVE AVE 5
GLENDORA, CA 91740-6018
Phone number:
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