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1730625096
SANDRA MAE LEWIS
REIDSVILLE, NC
NPI
1730625096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: NC 5136)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
SANDRA MAE LEWIS COTA/L
1403 S PARK DR
REIDSVILLE, NC 27320-5519
Phone number: 336-432-5868
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Mailing Address
SANDRA MAE LEWIS COTA/L
1403 S PARK DR
REIDSVILLE, NC 27320-5519
Phone number: 336-432-5868
Copy
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