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1386160455
CODY VINCENT GILLISS
HONOLULU, HI
NPI
1386160455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: HI 4614)
Enumeration Date
2017-08-20
Last Update Date
2023-01-23
Business Address
Mr. CODY VINCENT GILLISS PT, DPT
3030 PUALEI CIR APT 210
HONOLULU, HI 96815-4942
Phone number: 808-892-8999
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Mailing Address
Mr. CODY VINCENT GILLISS PT, DPT
3030 PUALEI CIR APT 210
HONOLULU, HI 96815-4942
Phone number: 808-892-8999
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