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1033541859
JACQUELLINE PHILLIPS
WINSTON SALEM, NC
NPI
1033541859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-08-02
Last Update Date
2013-08-02
Business Address
-- JACQUELLINE PHILLIPS
725 HIGHLAND AVE
WINSTON SALEM, NC 27101-4206
Phone number: 336-607-8523
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Mailing Address
-- JACQUELLINE PHILLIPS
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Phone number: 704-939-1100
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