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1518372127
CARSON PHILLIPS
RAPID CITY, SD
NPI
1518372127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 10533)
Enumeration Date
2014-06-23
Last Update Date
2017-11-02
Business Address
CARSON PHILLIPS
2822 JACKSON BLVD STE 101
RAPID CITY, SD 57702-3497
Phone number: 605-341-1208
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Mailing Address
CARSON PHILLIPS
2822 JACKSON BLVD STE 101
RAPID CITY, SD 57702-3497
Phone number: 605-341-1208
Copy
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