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1851796981
CRYSTAL LEWIS
POPLAR BLUFF, MO
NPI
1851796981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2013038509)
Enumeration Date
2014-10-31
Last Update Date
2014-10-31
Business Address
-- CRYSTAL LEWIS
1369 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3313
Phone number: 573-772-7937
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Mailing Address
-- CRYSTAL LEWIS
196 COUNTY ROAD 553
POPLAR BLUFF, MO 63901-7863
Phone number:
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