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1831805530
VICTORIA ROSCA LEWIS
CLARKSVILLE, TN
NPI
1831805530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 33054)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
VICTORIA ROSCA LEWIS
2147 WILMA RUDOLPH BLVD STE 102
CLARKSVILLE, TN 37040-6798
Phone number: 931-241-4115
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Mailing Address
VICTORIA ROSCA LEWIS
1866 SHIELD DR
CLARKSVILLE, TN 37043-2158
Phone number: 419-573-2001
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