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1790997336
DEREK PHILLIPS
MALVERN, AR
NPI
1790997336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- DEREK PHILLIPS CMP
1708 E PAGE AVE
MALVERN, AR 72104-4540
Phone number: 501-332-4437
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Mailing Address
-- DEREK PHILLIPS CMP
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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