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1598156978
JOHNLYN LEWIS
INGLEWOOD, CA
NPI
1598156978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-02-06
Last Update Date
2015-02-06
Business Address
-- JOHNLYN LEWIS
4450 W CENTURY BLVD
INGLEWOOD, CA 90304-1504
Phone number: 310-671-9294
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Mailing Address
-- JOHNLYN LEWIS
4450 W CENTURY BLVD
INGLEWOOD, CA 90304-1504
Phone number: 310-671-9294
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