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Individual

TAYLOR PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1212 IVY AVE, CRETE, NE 68333
(402) 381-3033
Mailing address
1212 IVY AVE, CRETE, NE 68333
(402) 381-3033

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017033040
MO

Other

Enumeration date
09/24/2019
Last updated
11/21/2023
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