Individual
MIRRIAH ELEANOR PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 N RUGGED HILL RD, CASSTOWN, OH 45312-9583
(937) 405-6687
Mailing address
2435 N RUGGED HILL RD, CASSTOWN, OH 45312-9583
(937) 405-6687
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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