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1578107280
BRETT LEWIS
JOHNSON CITY, TN
NPI
1578107280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN 0000001006)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
BRETT LEWIS
1276 GILBREATH DR
JOHNSON CITY, TN 37614-6503
Phone number: 423-439-4208
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Mailing Address
BRETT LEWIS
PO BOX 70707
JOHNSON CITY, TN 37614-1710
Phone number: 423-439-4208
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