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1912587304
LARRY PHILLIPS
PHOENIX, AZ
NPI
1912587304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
LARRY PHILLIPS
3207 S 73RD DR
PHOENIX, AZ 85043-7230
Phone number: 602-314-0276
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Mailing Address
LARRY PHILLIPS
401 W WESTERN AVE UNIT 345
AVONDALE, AZ 85323-4414
Phone number:
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