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1730908088
JOHN R PHILLIPS
FORT WAYNE, IN
NPI
1730908088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IN 10104377)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
Mr. JOHN R PHILLIPS
1200 BARR ST
FORT WAYNE, IN 46802-3502
Phone number: 260-467-1010
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Mailing Address
Mr. JOHN R PHILLIPS
1200 S CLINTON ST
FORT WAYNE, IN 46802-3504
Phone number: 260-467-2850
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