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1588312193
JEFFREY ERIC PHILLIPS
PORTLAND, OR
NPI
1588312193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-13
Last Update Date
2022-03-13
Business Address
JEFFREY ERIC PHILLIPS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 347-364-2039
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Mailing Address
JEFFREY ERIC PHILLIPS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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