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1730357104
NICHOLE MICHELE LEWIS
SAINT LOUIS, MO
NPI
1730357104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2008003778)
Enumeration Date
2008-02-19
Last Update Date
2024-04-25
Business Address
Ms. NICHOLE MICHELE LEWIS PA
4921 PARKVIEW PL DIV IM GASTROENTEROLOGY, STE 12B
SAINT LOUIS, MO 63110-1032
Phone number: 314-747-2066
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Mailing Address
Ms. NICHOLE MICHELE LEWIS PA
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-747-2066
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