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1619449972
CLAYTON COOPER LEWIS
ROCKFORD, IL
NPI
1619449972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085007004)
Enumeration Date
2018-12-27
Last Update Date
2023-10-26
Business Address
CLAYTON COOPER LEWIS PA-C
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
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Mailing Address
CLAYTON COOPER LEWIS PA-C
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number:
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