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Brandon Phillips
NPI 1790386142 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2428 W Reynolds Ave
Centalia, WA 98531 - Phone
- (360) 330-9044
- Fax
- (360) 736-3139
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington