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Individual

MICHAEL JONATHAN PHILLIPS-JIMMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPC

Contact information

Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 312-2000
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61300448
WA

Other

Enumeration date
08/17/2023
Last updated
08/17/2023
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