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1447875133
PAUL D PHILLIP
RIO RANCHO, NM
NPI
1447875133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
PAUL D PHILLIP
1207 GOLF COURSE RD NE SUITE C
RIO RANCHO, NM 87124
Phone number: 505-994-1229
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Mailing Address
PAUL D PHILLIP
527 BRIANNA LOOP NE
ALBUQUERQUE, NM 87113-1479
Phone number: 505-414-4029
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