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Individual

MRS. VICKIE LYNN PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MEDICAL ESTHETICIAN

Contact information

Practice address
3637 MEDINA RD STE 203, MEDINA, OH 44256-8155
(330) 592-8978
Mailing address
3637 MEDINA RD STE 203, MEDINA, OH 44256-8155
(330) 592-8978

Taxonomy

Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary

Other

Enumeration date
06/06/2021
Last updated
06/06/2021
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