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1295958312
DOUGLAS S LISTER
PARK CITY, UT
NPI
1295958312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E41920)
Enumeration Date
2007-04-10
Last Update Date
2012-10-15
Business Address
-- DOUGLAS S LISTER DPM
2720 HOMESTEAD ROAD SUITE 50
PARK CITY, UT 84098-4885
Phone number: 435-604-0449
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Mailing Address
-- DOUGLAS S LISTER DPM
PO BOX 34120
RENO, NV 89533-4120
Phone number: 775-747-5050
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