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1033511035
PHILLIP JOHN VILLANUEVA
YPSILANTI, MI
NPI
1033511035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007173)
Enumeration Date
2014-09-22
Last Update Date
2016-11-16
Business Address
-- PHILLIP JOHN VILLANUEVA PA-C
5301 E HURON RIVER DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-8676
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Mailing Address
-- PHILLIP JOHN VILLANUEVA PA-C
24 FRANK LLOYD WRIGHT DR PO BOX 0446 - LOBBY J
ANN ARBOR, MI 48105-9484
Phone number: 734-747-6766
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