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1205619699
MICHAEL JONATHAN PHILLIPS-JIMMY
BELLINGHAM, WA
NPI
1205619699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61300448)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
MICHAEL JONATHAN PHILLIPS-JIMMY CPC
2592 KWINA RD
BELLINGHAM, WA 98226-9278
Phone number: 360-312-2000
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Mailing Address
MICHAEL JONATHAN PHILLIPS-JIMMY CPC
2592 KWINA RD
BELLINGHAM, WA 98226-9278
Phone number:
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