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1003955675
PHILLIP C BERG
MOBILE, AL
NPI
1003955675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Mr. PHILLIP C BERG
8501 TANNER WILLIAMS RD
MOBILE, AL 36608-8322
Phone number: 251-441-6725
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Mailing Address
Mr. PHILLIP C BERG
8501 TANNER WILLIAMS RD
MOBILE, AL 36608-8322
Phone number: 251-441-6725
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