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1770289159
TYRIQ ELIJAH LEWIS
EAST STROUDSBURG, PA
NPI
1770289159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
TYRIQ ELIJAH LEWIS
200 PROSPECT ST
EAST STROUDSBURG, PA 18301-2956
Phone number: 610-620-3844
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Mailing Address
TYRIQ ELIJAH LEWIS
433 HIGHLAND AVE
DOWNINGTOWN, PA 19335
Phone number: 610-620-3844
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