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1134981236
RICHARD LAWRENCE PHILLIPS
SAN DIEGO, CA
NPI
1134981236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
RICHARD LAWRENCE PHILLIPS IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 442-226-2337
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Mailing Address
RICHARD LAWRENCE PHILLIPS IDC
9539 CASABA AVE
CHATSWORTH, CA 91311-5308
Phone number: 442-226-2337
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