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1912628934
SHIRELL ERICA LEWIS
TAMPA, FL
NPI
1912628934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
SHIRELL ERICA LEWIS
1102 RAY CHARLES BLVD UNIT 221
TAMPA, FL 33602-3049
Phone number: 813-750-9290
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Mailing Address
SHIRELL ERICA LEWIS
1102 RAY CHARLES BLVD UNIT 221
TAMPA, FL 33602-3049
Phone number: 813-750-9290
Copy
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