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Individual
MS. IETHA L PHILLIPS
Active
Individual
MS. IETHA L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
PN100508
OH
Other
Enumeration date
05/29/2007
Last updated
04/09/2008
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