DAVID ALLEN PHILLIPS

BENTON, KY
NPI1760112890
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  110103)
Enumeration Date2022-06-13
Last Update Date2022-06-13
Business Address
DAVID ALLEN PHILLIPS
310 W 5TH ST
BENTON, KY 42025-1102
Phone number: 270-527-1348
Mailing Address
DAVID ALLEN PHILLIPS
310 W 5TH ST
BENTON, KY 42025-1102
Phone number: 270-527-1348
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