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1699495838
DEIDRE RENE LEWIS
MACON, GA
NPI
1699495838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA 000781)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
DEIDRE RENE LEWIS
5300 ZEBULON RD
MACON, GA 31210-2199
Phone number: 478-405-4500
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Mailing Address
DEIDRE RENE LEWIS
301 S CORDER RD APT 801
WARNER ROBINS, GA 31088-5718
Phone number: 229-848-9001
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