PHILLIP UPHAM

RAPID CITY, SD
NPI1639399074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NM  I-1756)
Enumeration Date2007-04-26
Last Update Date2010-03-08
Business Address
-- PHILLIP UPHAM
2040 W MAIN ST STE 210-2422
RAPID CITY, SD 57702-0904
Phone number: 505-832-5817
Mailing Address
-- PHILLIP UPHAM
2040 W MAIN ST, SUITE 210-2422
RAPID CITY, SD 57702-2570
Phone number: 505-832-5918
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