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1154613610
DANIEL EDWARD PHILLIPS
SANTA ROSA, NM
NPI
1154613610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
-- DANIEL EDWARD PHILLIPS
501 S 4TH ST
SANTA ROSA, NM 88435-2417
Phone number: 575-472-0745
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Mailing Address
-- DANIEL EDWARD PHILLIPS
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006
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