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1801026950
GARY W PHIPPS
MODESTO, CA
NPI
1801026950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: CA 20385)
Enumeration Date
2009-07-23
Last Update Date
2010-12-14
Business Address
-- GARY W PHIPPS
459 GLASS LN STE A4
MODESTO, CA 95356-9253
Phone number: 209-525-8400
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Mailing Address
-- GARY W PHIPPS
459 GLASS LN STE 4
MODESTO, CA 95356-9253
Phone number: 209-525-8400
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