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1669119590
SARA NICOLE LEWIS
MERIDIAN, ID
NPI
1669119590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID F04220073)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
SARA NICOLE LEWIS NP
1660 S WOODSAGE AVE BLDG A
MERIDIAN, ID 83642-7670
Phone number: 208-860-3386
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Mailing Address
SARA NICOLE LEWIS NP
2455 S PINE BAR PL
MERIDIAN, ID 83642-7497
Phone number: 208-860-3386
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