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1225436207
DOUGLAS BRENT PHILLIPS
LITTLE ROCK, AR
NPI
1225436207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AR 608)
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
DOUGLAS BRENT PHILLIPS ATC
10301 KANIS RD
LITTLE ROCK, AR 72205-6205
Phone number: 501-604-6913
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Mailing Address
DOUGLAS BRENT PHILLIPS ATC
35 SPRINGRIDGE DR
LITTLE ROCK, AR 72211-5431
Phone number: 205-657-6984
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