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1811456098
PHILLIP LIS
GREENVILLE, SC
NPI
1811456098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2019-03-18
Last Update Date
2019-03-18
Business Address
MR. PHILLIP LIS CPO
950 W FARIS RD
GREENVILLE, SC 29605-4255
Phone number: 864-255-8761
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Mailing Address
MR. PHILLIP LIS CPO
PO BOX 865109
ORLANDO, FL 32886-5109
Phone number: 844-602-3960
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