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1992313613
MICHAEL EDWIN LEWIS
PRINCETON, WV
NPI
1992313613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-20
Last Update Date
2020-07-20
Business Address
MICHAEL EDWIN LEWIS
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-425-9541
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Mailing Address
MICHAEL EDWIN LEWIS
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-425-9541
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