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1598358244
DUSTIN J PHILLIPS
KISSIMMEE, FL
NPI
1598358244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 29196)
Enumeration Date
2021-02-13
Last Update Date
2021-02-13
Business Address
DUSTIN J PHILLIPS
4310 BAYSIDE DR
KISSIMMEE, FL 34746-6054
Phone number: 813-312-5135
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Mailing Address
DUSTIN J PHILLIPS
4310 BAYSIDE DR
KISSIMMEE, FL 34746-6054
Phone number: 813-312-5135
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