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1881168789
JACK LEWIS
LAFAYETTE, LA
NPI
1881168789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
JACK LEWIS
201 REINHARDT DR
LAFAYETTE, LA 70506-4252
Phone number: 800-563-8000
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Mailing Address
JACK LEWIS
913 PINECONE DR
MODESTO, CA 95351-1878
Phone number:
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