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1841743275
BRIAN LEE LEWIS
WILSONVILLE, OR
NPI
1841743275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09305)
Enumeration Date
2016-08-02
Last Update Date
2016-08-02
Business Address
Mr. BRIAN LEE LEWIS PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 970-224-2040
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Mailing Address
Mr. BRIAN LEE LEWIS PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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