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1932887411
DAMIAN W LIS
DETROIT, MI
NPI
1932887411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704271848)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
DAMIAN W LIS
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
DAMIAN W LIS
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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