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1215699061
DONALD WAYNE PHILLIPS
VICTORVILLE, CA
NPI
1215699061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
DONALD WAYNE PHILLIPS
15490 CIVIC DR STE 103
VICTORVILLE, CA 92392-2382
Phone number: 442-261-1745
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Mailing Address
DONALD WAYNE PHILLIPS
20590 SHAWNEE RD
APPLE VALLEY, CA 92308-6352
Phone number: 909-712-0637
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