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1730241167
NIKKI MICSHAWN LEWIS
FORT POLK, LA
NPI
1730241167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
-- NIKKI MICSHAWN LEWIS PA
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-4126
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Mailing Address
-- NIKKI MICSHAWN LEWIS PA
16121 GROVES ST APT B
FORT POLK, LA 71459-2516
Phone number: 337-537-3686
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