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1356730451
GREGORY PHILLIPS
VISTA, CA
NPI
1356730451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-01-13
Last Update Date
2015-01-20
Business Address
GREGORY PHILLIPS
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-806-4350
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Mailing Address
GREGORY PHILLIPS
8656 CAPRICORN WAY
SAN DIEGO, CA 92126-1851
Phone number: 858-229-3202
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