JOHN LEWIS

JACKSON, TN
NPI1811983547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  10103)
Enumeration Date2005-09-27
Last Update Date2012-02-14
Business Address
-- JOHN LEWIS CRNA
810 W FOREST AVE
JACKSON, TN 38301-3942
Phone number: 731-668-1853
Mailing Address
-- JOHN LEWIS CRNA
810 W FOREST AVE
JACKSON, TN 38301-3942
Phone number: 731-668-1853
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