Individual
JULIA JAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5207 SW 91ST TER, GAINESVILLE, FL 32608-7125
(352) 335-5025
Mailing address
501 SW 75TH ST, UNIT E-6, GAINESVILLE, FL 32607-1739
(352) 682-9558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA61280
FL
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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