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1891951141
RICHARD WAYNE PHILLIPS
EUREKA, CA
NPI
1891951141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT26065)
Enumeration Date
2008-08-05
Last Update Date
2008-08-05
Business Address
Mr. RICHARD WAYNE PHILLIPS PT
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Mr. RICHARD WAYNE PHILLIPS PT
1480 ERIN CT
EUREKA, CA 95503-6175
Phone number: 707-497-6749
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