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Individual
MR. PHILLIP PIERCE JR.
Active
Individual
MR. PHILLIP PIERCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS 3008
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208240000
—
ME
Enumeration date
01/30/2007
Last updated
01/28/2022
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