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1265185318
PHILLIP LEE MATTOX
WATERLOO, IA
NPI
1265185318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: IA 079082)
Enumeration Date
2022-01-29
Last Update Date
2022-01-29
Business Address
PHILLIP LEE MATTOX
1416 W 4TH ST
WATERLOO, IA 50702-2908
Phone number: 319-232-7113
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Mailing Address
PHILLIP LEE MATTOX
1416 W 4TH ST
WATERLOO, IA 50702-2908
Phone number: 319-232-7113
Copy
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