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1992001358
MIKKAEL K LEWIS
EL PASO, TX
NPI
1992001358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX 1095616)
Enumeration Date
2011-02-02
Last Update Date
2011-02-02
Business Address
Mr. MIKKAEL K LEWIS P.A.
5005 N PIEDRAS ST
EL PASO, TX 79920-5001
Phone number: 915-569-1386
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Mailing Address
Mr. MIKKAEL K LEWIS P.A.
5005 N PIEDRAS ST
EL PASO, TX 79920-5001
Phone number: 915-569-1386
Copy
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