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1396520961
NICHOLAS PHILLIPS
LITTLE ROCK, AR
NPI
1396520961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-30
Last Update Date
2024-03-27
Business Address
NICHOLAS PHILLIPS
6501 WEST 12TH STREET
LITTLE ROCK, AR 72204-1511
Phone number: 501-666-8686
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Mailing Address
NICHOLAS PHILLIPS
P.O. BOX 251970
LITTLE ROCK, AR 72225-1970
Phone number: 501-666-8686
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