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1689358897
MIA LEWIS
MARRERO, LA
NPI
1689358897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 7612)
Enumeration Date
2023-06-09
Last Update Date
2024-08-14
Business Address
MIA LEWIS
7001 LAPALCO BLVD
MARRERO, LA 70072-4503
Phone number: 504-341-4006
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Mailing Address
MIA LEWIS
PO BOX 5414
WEST MEMPHIS, AR 72303-5414
Phone number: 870-636-1344
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