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1366068652
DEREK MICHAEL PHILLIPS
SAN LEANDRO, CA
NPI
1366068652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
DEREK MICHAEL PHILLIPS
477 CALLAN AVE
SAN LEANDRO, CA 94577-4607
Phone number: 818-241-6780
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Mailing Address
DEREK MICHAEL PHILLIPS
55 E COLORADO BLVD STE 560
PASADENA, CA 91105-1901
Phone number: 818-241-6780
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