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1134170905
JERRY LYNN PHILLIPS
EUGENE, OR
NPI
1134170905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2681 ATI)
Additional Taxonomies
332H00000X Eyewear Supplier
Enumeration Date
2006-05-15
Last Update Date
2020-03-01
Business Address
DR. JERRY LYNN PHILLIPS O.D.
2864 WILLAMETTE ST SUITE 600
EUGENE, OR 97405-3297
Phone number: 541-689-2881
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Mailing Address
DR. JERRY LYNN PHILLIPS O.D.
2423 PANORAMA DR
EUGENE, OR 97405-1481
Phone number: 541-729-4778
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