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1023362407
JONATHAN BLACKMORE PHILLIPS
DALLAS, TX
NPI
1023362407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 779588)
Enumeration Date
2012-11-06
Last Update Date
2015-11-09
Business Address
-- JONATHAN BLACKMORE PHILLIPS CRNA
6606 LBJ FWY SUITE 200
DALLAS, TX 75240-6533
Phone number: 972-715-5000
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Mailing Address
-- JONATHAN BLACKMORE PHILLIPS CRNA
PO BOX 650865
DALLAS, TX 75265-0865
Phone number: 972-715-5000
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