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1992418727
PATRICK TARRANCE LEWIS
JACKSON, MS
NPI
1992418727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-12-26
Last Update Date
2022-12-26
Business Address
PATRICK TARRANCE LEWIS PA
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 601-376-1000
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Mailing Address
PATRICK TARRANCE LEWIS PA
203 RESERVE DR
CLINTON, MS 39056-5985
Phone number: 971-998-2713
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