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1992907935
LEWIS LEE TATUM
DAVIS, CA
NPI
1992907935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
Mr. LEWIS LEE TATUM
212 I ST
DAVIS, CA 95616-4213
Phone number: 530-758-4605
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Mailing Address
Mr. LEWIS LEE TATUM
212 I ST
DAVIS, CA 95616-4213
Phone number: 530-758-4605
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