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1669132866
JUSTIN LEWIS
VALDOSTA, GA
NPI
1669132866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2021-12-29
Last Update Date
2021-12-29
Business Address
JUSTIN LEWIS
704 E JANE ST
VALDOSTA, GA 31601-4119
Phone number: 229-437-0457
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Mailing Address
JUSTIN LEWIS
704 E JANE ST
VALDOSTA, GA 31601-4119
Phone number: 229-437-0457
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