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1700472412
LISANNA STAR LEWIS
GLADWIN, MI
NPI
1700472412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-16
Last Update Date
2022-04-13
Business Address
LISANNA STAR LEWIS
1234 W CEDAR AVE STE B
GLADWIN, MI 48624-1818
Phone number: 989-423-0971
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Mailing Address
LISANNA STAR LEWIS
2600 MOSTETLER RD LOT 28
HARRISON, MI 48625-9139
Phone number: 989-424-7198
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