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1740901776
ERICKA NICOLE LEWIS
RUSKIN, FL
NPI
1740901776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
(Licence: FL 236831)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
ERICKA NICOLE LEWIS
812 16TH AVE SE
RUSKIN, FL 33570-6013
Phone number: 813-476-8343
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Mailing Address
ERICKA NICOLE LEWIS
812 16TH AVE SE
RUSKIN, FL 33570-6013
Phone number: 813-476-8343
Copy
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