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1407036361
JOHN MARK PHILLIPS
MODESTO, CA
NPI
1407036361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 538019)
Enumeration Date
2007-11-08
Last Update Date
2007-11-08
Business Address
-- JOHN MARK PHILLIPS RN
1100 KANSAS AVE SUITE A
MODESTO, CA 95351-1596
Phone number: 209-558-7475
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Mailing Address
-- JOHN MARK PHILLIPS RN
1100 KANSAS AVE SUITE A
MODESTO, CA 95351-1596
Phone number: 209-558-7475
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