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1982033734
MATTHEW LEWIS
GRAND RAPIDS, MI
NPI
1982033734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000848)
Enumeration Date
2013-11-02
Last Update Date
2013-11-02
Business Address
Mr. MATTHEW LEWIS MS, AT, ATC
3902 WHISPERING WAY SE 3
GRAND RAPIDS, MI 49546-5877
Phone number: 616-818-9656
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Mailing Address
Mr. MATTHEW LEWIS MS, AT, ATC
4100 LAKE DR SE 300
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
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