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1831489574
JERRY PHILLIPS
MILWAUKIE, OR
NPI
1831489574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-14
Last Update Date
2019-06-21
Business Address
JERRY PHILLIPS
11458 SE MCEACHRON AVE
MILWAUKIE, OR 97222
Phone number: 503-305-6296
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Mailing Address
JERRY PHILLIPS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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