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1316525736
JUSTIN MICHAEL PHILLIPS
PLANTATION, FL
NPI
1316525736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
JUSTIN MICHAEL PHILLIPS DO
8201 W BROWARD BLVD
PLANTATION, FL 33324-2701
Phone number: 954-723-1206
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Mailing Address
JUSTIN MICHAEL PHILLIPS DO
8201 W BROWARD BLVD
PLANTATION, FL 33324-2701
Phone number: 954-723-1206
Copy
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