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Individual
SEAN PHILLIPS
Active
Individual
SEAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2818
KY
363A00000X
Physician Assistant
TC059
KY
363AS0400X
Surgical Physician Assistant
016600
NY
363AS0400X
Surgical Physician Assistant
3622
CT
Other
Enumeration date
05/26/2010
Last updated
01/25/2022
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