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1609221159
JOVAN LEWIS
CHEEKTOWAGA, NY
NPI
1609221159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 324311)
Enumeration Date
2016-05-03
Last Update Date
2016-05-03
Business Address
JOVAN LEWIS
15 PARKVIEW TER
CHEEKTOWAGA, NY 14225-4009
Phone number: 716-715-5439
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Mailing Address
JOVAN LEWIS
15 PARKVIEW TER
CHEEKTOWAGA, NY 14225-4009
Phone number: 716-715-5439
Copy
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