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Organization
PHILNLN, INC
Active
Organization
PHILNLN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA KINGSBURY (OFFICE MANAGER)
(805) 461-5800
Entity
Organization
Contact information
Practice address
7619 MORRO RD, ATASCADERO, CA 93422-4433
(805) 461-5800
(805) 461-5802
Mailing address
7619 MORRO RD, ATASCADERO, CA 93422-4433
(805) 461-5800
(805) 461-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A44775
CA
Other
Enumeration date
10/13/2016
Last updated
01/29/2018
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