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1770206591
EQUILLA RENA LEWIS
FAYETTEVILLE, NC
NPI
1770206591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5017121)
Enumeration Date
2022-09-26
Last Update Date
2024-04-09
Business Address
EQUILLA RENA LEWIS NP
103 COUNTRY CLUB DR
FAYETTEVILLE, NC 28301-7603
Phone number: 910-400-7002
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Mailing Address
EQUILLA RENA LEWIS NP
PO BOX 746724
ATLANTA, GA 30374-6724
Phone number: 312-733-9730
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