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Individual

CLINT LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
58457 29 PALMS HWY STE 102B, YUCCA VALLEY, CA 92284-5879
(951) 316-8760
Mailing address
58457 29 PALMS HWY STE 102B, YUCCA VALLEY, CA 92284-5879

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-TXYKMF
CA

Other

Enumeration date
08/28/2019
Last updated
05/02/2025
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