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1477002178
VAN PHILLIPS JR
RUSTON, LA
NPI
1477002178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-23
Last Update Date
2018-05-16
Business Address
Mr. VAN PHILLIPS JR
106 TIMBERS AVE
RUSTON, LA 71270
Phone number: 205-960-1205
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Mailing Address
Mr. VAN PHILLIPS JR
2940 LE OAKS DR APT 1707
BOSSIER CITY, LA 71111-7842
Phone number: 205-960-1205
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