VAN PHILLIPS JR

RUSTON, LA
NPI1477002178
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-09-23
Last Update Date2018-05-16
Business Address
MR. VAN PHILLIPS JR
106 TIMBERS AVE
RUSTON, LA 71270
Phone number: 205-960-1205
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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