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1184844961
RUSSELL PHILLIPS
ALTAMONTE SPRINGS, FL
NPI
1184844961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH1004)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- RUSSELL PHILLIPS MA
711 TURNBULL AVE
ALTAMONTE SPRINGS, FL 32701-6420
Phone number: 407-389-0562
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Mailing Address
-- RUSSELL PHILLIPS MA
711 TURNBULL AVE
ALTAMONTE SPRINGS, FL 32701-6420
Phone number: 407-389-0562
Copy
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