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1922381961
LANARD PHILLIPS
LA MESA, CA
NPI
1922381961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
-- LANARD PHILLIPS
4990 WILLIAMS AVE
LA MESA, CA 91942-7409
Phone number: 619-668-4203
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Mailing Address
-- LANARD PHILLIPS
8910 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92123-1104
Phone number: 619-765-6299
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