TYLER JORDAN PHILLIPS

MAGNOLIA, AR
NPI1932591120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-02-24
Last Update Date2015-02-24
Business Address
-- TYLER JORDAN PHILLIPS ATC
100 E UNIVERSITY # 9522
MAGNOLIA, AR 71753-2181
Phone number: 501-467-5349
Mailing Address
-- TYLER JORDAN PHILLIPS ATC
2909 HIGHWAY 229 N
TRASKWOOD, AR 72167-9181
Phone number: 501-467-5349
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