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1184816951
EVAN DUANE PHILLIPS
ASTORIA, OR
NPI
1184816951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
-- EVAN DUANE PHILLIPS
10 PIER 1 STE. 308
ASTORIA, OR 97103-6300
Phone number: 503-325-1588
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Mailing Address
-- EVAN DUANE PHILLIPS
PO BOX 179
SEAVIEW, WA 98644-0179
Phone number:
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