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Individual

RICHARD PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
5 N MAIN ST, ENGLEWOOD, OH 45322-1326
(937) 890-8660
Mailing address
4998 CLAYTON RD, BROOKVILLE, OH 45309-8314
(937) 830-5707

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/28/2020
Last updated
02/28/2020
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