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1821699075
JONATHAN PHILLIPS
BECKLEY, WV
NPI
1821699075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
JONATHAN PHILLIPS
254 GEORGE ST
BECKLEY, WV 25801-2641
Phone number: 304-255-0620
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Mailing Address
JONATHAN PHILLIPS
254 GEORGE ST
BECKLEY, WV 25801-2641
Phone number: 304-255-0620
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