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Individual

STERLING KENTON PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P., C.P.

Contact information

Practice address
4421 19TH ST, LUBBOCK, TX 79407-2408
(806) 799-1518
(806) 799-5462
Mailing address
4421 19TH ST, LUBBOCK, TX 79407-2408
(806) 799-1518
(806) 799-5462

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
221
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145567702
TX
Enumeration date
04/13/2012
Last updated
08/09/2016
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