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1083320113
PHILIP MAXWELL
SAN DIEGO, CA
NPI
1083320113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
PHILIP MAXWELL
3550 CAMINO DEL RIO N STE 104
SAN DIEGO, CA 92108-1738
Phone number: 949-666-2852
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Mailing Address
PHILIP MAXWELL
403 N ESCONDIDO BLVD #340
ESCONDIDO, CA 92033
Phone number:
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