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1881762748
LARRY WAYNE LEWIS
PUEBLO, CO
NPI
1881762748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 76849)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
-- LARRY WAYNE LEWIS RN
110 E ROUTT
PUEBLO, CO 81004
Phone number: 719-543-8711
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Mailing Address
-- LARRY WAYNE LEWIS RN
310 COLORADO AVE
PUEBLO, CO 81004
Phone number: 719-543-8718
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