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1952764219
JORDAN LILES
SCOTTSDALE, AZ
NPI
1952764219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: AZ 66685)
Enumeration Date
2016-04-03
Last Update Date
2023-03-07
Business Address
JORDAN LILES
8630 E VIA DE VENTURA STE 201
SCOTTSDALE, AZ 85258-3358
Phone number: 480-558-3744
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Mailing Address
JORDAN LILES
8630 E VIA DE VENTURA STE 201
SCOTTSDALE, AZ 85258-3358
Phone number: 480-558-3744
Copy
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