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1710359963
JESSICA RAQUEL LEWIS
CROFTON, MD
NPI
1710359963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A4325)
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- JESSICA RAQUEL LEWIS PTA
1666 CARLYLE DR APT H
CROFTON, MD 21114-1428
Phone number: 443-254-2089
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Mailing Address
-- JESSICA RAQUEL LEWIS PTA
1666 CARLYLE DR APT H
CROFTON, MD 21114-1428
Phone number: 443-254-2089
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