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1588103477
JALISA PHILLIPS
MINNEAPOLIS, MN
NPI
1588103477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2723)
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
-- JALISA PHILLIPS
8100 NORTHLAND DR.
MINNEAPOLIS, MN 55431
Phone number: 952-831-8742
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Mailing Address
-- JALISA PHILLIPS
8100 NORTHLAND DR.
MINNEAPOLIS, MN 55431
Phone number: 952-831-8742
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