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1053520825
JOHN TRIMMER PHILLIPS
MARIPOSA, CA
NPI
1053520825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- JOHN TRIMMER PHILLIPS
5037 STROMING RD
MARIPOSA, CA 95338
Phone number: 209-966-2000
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Mailing Address
-- JOHN TRIMMER PHILLIPS
PO BOX 99
MARIPOSA, CA 95338-0099
Phone number: 209-966-2000
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