MICHAEL KENNETH PHILLIPS

OCEANSIDE, CA
NPI1790035707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-09-17
Last Update Date2013-05-01
Business Address
Mr. MICHAEL KENNETH PHILLIPS IDC
623 PUSAN DR
OCEANSIDE, CA 92058-8149
Phone number: 847-912-8212
Mailing Address
Mr. MICHAEL KENNETH PHILLIPS IDC
623 PUSAN DR
OCEANSIDE, CA 92058-8149
Phone number: 847-912-8212
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