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1689913188
GARY WILLIAM LEWIS
ORANGE PARK, FL
NPI
1689913188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 1839)
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
Mr. GARY WILLIAM LEWIS PT
1215 KINGSLEY AVE
ORANGE PARK, FL 32073-4631
Phone number: 904-269-8922
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Mailing Address
Mr. GARY WILLIAM LEWIS PT
184 VANDERFORD RD W
ORANGE PARK, FL 32073-5900
Phone number: 904-269-2812
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