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Individual

JACQUE RENEE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
809 SOUTH ST, GREENFIELD, OH 45123-1246
(937) 803-0413
Mailing address
809 SOUTH ST, GREENFIELD, OH 45123-1246
(379) 030-4139

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
09/27/2023
Last updated
09/27/2023
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