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Individual

DEVON MOUGHAN-PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2293
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2293

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1068094
CA

Other

Enumeration date
08/25/2016
Last updated
08/25/2016
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