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1679271217
STEPHEN WESLEY PHILLIPS
CHARLOTTE, NC
NPI
1679271217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 15138)
Enumeration Date
2023-02-22
Last Update Date
2023-02-22
Business Address
STEPHEN WESLEY PHILLIPS
4123 KUYKENDALL RD
CHARLOTTE, NC 28270-4449
Phone number: 704-708-9931
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Mailing Address
STEPHEN WESLEY PHILLIPS
1523 OLD PEACHLAND RD
MARSHVILLE, NC 28103-7533
Phone number: 201-848-5144
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