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Individual

DAVID LOREN PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-8863
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-8863
(402) 559-5737

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NE

Other

Enumeration date
09/19/2014
Last updated
09/19/2014
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