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1851805881
COREY ROGER LEWIS
LANCASTER, CA
NPI
1851805881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 270731)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
COREY ROGER LEWIS LVN
4735 W AVENUE J3
LANCASTER, CA 93536-2305
Phone number: 310-418-3527
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Mailing Address
COREY ROGER LEWIS LVN
4735 W AVENUE J3
LANCASTER, CA 93536-2305
Phone number: 310-418-3527
Copy
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