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1720466196
MARK LEWIS
LEBANON, OR
NPI
1720466196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 61004)
Enumeration Date
2015-05-18
Last Update Date
2015-05-18
Business Address
-- MARK LEWIS
1300 E GRANT ST STE 100
LEBANON, OR 97355-9539
Phone number: 541-258-8222
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Mailing Address
-- MARK LEWIS
7201 W CLEARWATER AVE STE B101
KENNEWICK, WA 99336-1694
Phone number: 509-544-0265
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