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1699357541
DANIAL RAY PHIPPS
LAKE ELSINORE, CA
NPI
1699357541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
DANIAL RAY PHIPPS
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530-2312
Phone number: 951-471-4649
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Mailing Address
DANIAL RAY PHIPPS
31764 CASINO DR STE 200
LAKE ELSINORE, CA 92530-2312
Phone number:
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