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1720417942
BLAKE LEWIS
BELLEVUE, NE
NPI
1720417942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NE 2013010499)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
BLAKE LEWIS
1401 HIGH SCHOOL DR
BELLEVUE, NE 68005-3275
Phone number: 402-293-4150
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Mailing Address
BLAKE LEWIS
4736 VIRGINIA ST APT 2B
BELLEVUE, NE 68157-2693
Phone number:
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