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1174044929
CURTIS PHILLIPS
GALLUP, NM
NPI
1174044929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-02
Last Update Date
2017-07-02
Business Address
CURTIS PHILLIPS
216 W MALONEY AVE
GALLUP, NM 87301-8730
Phone number: 505-870-1483
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Mailing Address
CURTIS PHILLIPS
216 W MALONEY AVE
GALLUP, NM 87301-5214
Phone number:
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