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Individual

MR. JOSHUA RYAN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT

Contact information

Practice address
703 47TH ST SE, G205, AUBURN, WA 98092-8606
(307) 871-5030
Mailing address
703 47TH ST SE, G205, AUBURN, WA 98092-8606
(307) 871-5030

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160184910
WA

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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