MARIO DELANO PHILLIPS

CHESAPEAKE, VA
NPI1336582774
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-04-16
Last Update Date2013-04-16
Business Address
Mr. MARIO DELANO PHILLIPS IDC
745 EDEN WAY NORTH
CHESAPEAKE, VA 23320
Phone number: 757-560-2457
Mailing Address
Mr. MARIO DELANO PHILLIPS IDC
MARINE CORPS SECURITY FORCES MCA 614 PORT AU PRINCE
NORFOLK, VA 23551-0001
Phone number: 757-444-6492
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