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Individual

JOH'NASIA LASHAY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
(520) 533-5246
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
(520) 533-5246

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/27/2020
Last updated
09/27/2024
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