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Individual
TAKIYAH S LEWIS
Active
Individual
TAKIYAH S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN198074
CA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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