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1194031948
PHILLIP EVAN HOLBROOK
SALEM, OR
NPI
1194031948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-30
Last Update Date
2010-08-30
Business Address
-- PHILLIP EVAN HOLBROOK
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number: 503-930-8702
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Mailing Address
-- PHILLIP EVAN HOLBROOK
1118 OAK ST SE
SALEM, OR 97301-4019
Phone number:
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