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1720718620
JERRY WAYNE LEWIS
LONDON, KY
NPI
1720718620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3017921)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
JERRY WAYNE LEWIS APRN PMHNP-BC
103 SYCAMORE ST
LONDON, KY 40741-1740
Phone number: 606-312-4761
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Mailing Address
JERRY WAYNE LEWIS APRN PMHNP-BC
103 SYCAMORE ST
LONDON, KY 40741-1740
Phone number: 606-312-0779
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