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1801142351
JEFFREY LEWIS
CHAMPAIGN, IL
NPI
1801142351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.010600)
Enumeration Date
2012-08-01
Last Update Date
2012-08-01
Business Address
-- JEFFREY LEWIS OD
507 W TOWN CENTER BLVD
CHAMPAIGN, IL 61822-1248
Phone number: 217-531-5393
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Mailing Address
-- JEFFREY LEWIS OD
2221 W COLLEGE AVE
NORMAL, IL 61761-2375
Phone number: 309-938-4949
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