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1669061016
PEDROSHAMAR LEWIS
SACRAMENTO, CA
NPI
1669061016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
PEDROSHAMAR LEWIS
1300 ETHAN WAY
SACRAMENTO, CA 95825-2211
Phone number: 866-523-4268
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Mailing Address
PEDROSHAMAR LEWIS
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 866-523-4648
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