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1548853047
ROBERT LOGAN PHILLIPS
TACOMA, WA
NPI
1548853047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
ROBERT LOGAN PHILLIPS DO
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2462
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Mailing Address
ROBERT LOGAN PHILLIPS DO
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2462
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