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Individual
PAULETTE DAWN LEWIS
Active
Individual
PAULETTE DAWN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA50847
LICENSED MASSAGE THERAPIST
FL
Enumeration date
12/10/2009
Last updated
12/10/2009
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