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1104083997
RANDALL JERALD PHILLIPS
GAINESVILLE, GA
NPI
1104083997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DN010821)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
Dr. RANDALL JERALD PHILLIPS D.M.D.
516 CANDLER ST
GAINESVILLE, GA 30501-3332
Phone number: 770-536-1222
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Mailing Address
Dr. RANDALL JERALD PHILLIPS D.M.D.
516 CANDLER ST
GAINESVILLE, GA 30501-3332
Phone number: 770-536-1222
Copy
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