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1720010630
SANDRA L LEWIS
COWETA, OK
NPI
1720010630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 656)
Enumeration Date
2006-07-07
Last Update Date
2007-07-09
Business Address
-- SANDRA L LEWIS P.A.
31870 E. HIGHWAY 51
COWETA, OK 74429
Phone number: 918-279-3200
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Mailing Address
-- SANDRA L LEWIS P.A.
PO BOX 400
OKMULGEE, OK 74447-0400
Phone number: 918-756-3334
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