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1780326090
DERRICK BRIAN LEWIS
GAINESVILLE, FL
NPI
1780326090
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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
2022-04-08
Last Update Date
2023-03-23
Business Address
DERRICK BRIAN LEWIS
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0111
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Mailing Address
DERRICK BRIAN LEWIS
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0111
Copy
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