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1770507600
MATTHEW J. LEWIS
CLOQUET, MN
NPI
1770507600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R1161207)
Enumeration Date
2006-07-26
Last Update Date
2022-01-19
Business Address
Mr. MATTHEW J. LEWIS CRNA
512 SKYLINE BLVD
CLOQUET, MN 55720-3787
Phone number: 218-878-7699
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Mailing Address
Mr. MATTHEW J. LEWIS CRNA
512 SKYLINE BLVD
CLOQUET, MN 55720-3787
Phone number: 218-878-7699
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