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1295970796
PHILLIP CARROLL
MODESTO, CA
NPI
1295970796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: CA CO002162)
Enumeration Date
2008-12-11
Last Update Date
2008-12-11
Business Address
-- PHILLIP CARROLL CO
1130 COFFEE RD SUITE B
MODESTO, CA 95355-4228
Phone number: 209-549-1000
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Mailing Address
-- PHILLIP CARROLL CO
693 HI TECH PKWY
OAKDALE, CA 95361-9113
Phone number: 209-845-8231
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