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1770716284
JEREMY SHANE LEWIS
TEMPE, AZ
NPI
1770716284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2009-08-31
Last Update Date
2009-08-31
Business Address
-- JEREMY SHANE LEWIS ATC
1025 E BROADWAY RD STE 100
TEMPE, AZ 85282-1599
Phone number: 480-829-0217
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Mailing Address
-- JEREMY SHANE LEWIS ATC
1025 E BROADWAY RD STE 100
TEMPE, AZ 85282-1599
Phone number: 480-829-0217
Copy
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