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1205327491
PHILLIP JOHN MICHAEL
CHARLOTTE, NC
NPI
1205327491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-23
Last Update Date
2020-03-06
Business Address
PHILLIP JOHN MICHAEL
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
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Mailing Address
PHILLIP JOHN MICHAEL
10926 S TRYON ST STE E
CHARLOTTE, NC 28273-4154
Phone number: 855-201-5498
Copy
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