JACKIE LEE LEWIS

BAINBRIDGE, OH
NPI1730878018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-05-03
Last Update Date2023-05-03
Business Address
JACKIE LEE LEWIS
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612-1500
Phone number: 740-634-3094
Mailing Address
JACKIE LEE LEWIS
PO BOX 59
BOURNEVILLE, OH 45617-0059
Phone number:
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