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1922653286
PHILLIP WAYNE JEWELL
HIGHLAND PARK, MI
NPI
1922653286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
PHILLIP WAYNE JEWELL
16300 WOODWARD AVE
HIGHLAND PARK, MI 48203-2882
Phone number: 313-365-7211
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Mailing Address
PHILLIP WAYNE JEWELL
21840 HARDING ST
OAK PARK, MI 48237-2523
Phone number: 313-365-7211
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