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1467739037
KENNETH DALE PHILLIPS
PARKER, AZ
NPI
1467739037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9242156)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
-- KENNETH DALE PHILLIPS rn
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-2137
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Mailing Address
-- KENNETH DALE PHILLIPS rn
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-2137
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