JACOB PHILLIPS

RIDGEFIELD, WA
NPI1770211047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: WA  CG61240416)
Enumeration Date2022-08-12
Last Update Date2022-08-12
Business Address
JACOB PHILLIPS CPC
21810 NE 37TH AVE
RIDGEFIELD, WA 98642-7747
Phone number: 360-241-5695
Mailing Address
JACOB PHILLIPS CPC
PO BOX 1299
BATTLE GROUND, WA 98604-1299
Phone number: 360-241-5695
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