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1083628416
PHILIP G LISAGOR
RENO, NV
NPI
1083628416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA g24804)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
-- PHILIP G LISAGOR
1000 LOCUST ST
RENO, NV 89502-2597
Phone number: 775-328-1242
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Mailing Address
-- PHILIP G LISAGOR
PO BOX 1357
VERDI, NV 89439-1357
Phone number:
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