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1750913042
TIM LEWIS
SALT LAKE CITY, UT
NPI
1750913042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-05
Last Update Date
2020-03-03
Business Address
TIM LEWIS
155 S 300 W STE 101
SALT LAKE CITY, UT 84101-1289
Phone number: 801-990-9488
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Mailing Address
TIM LEWIS
155 S 300 W STE 101
SALT LAKE CITY, UT 84101-1289
Phone number: 801-990-9488
Copy
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