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1609345974
BRIAN LEWIS
MEDFORD, OR
NPI
1609345974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-16
Last Update Date
2022-03-10
Business Address
BRIAN LEWIS
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
BRIAN LEWIS
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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