Individual
MR. RANDALL AUSTIN PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 NW 63RD ST, SUITE 301, OKLAHOMA CITY, OK 73116-7907
(405) 418-3865
Mailing address
301 NW 63RD ST, SUITE 301, OKLAHOMA CITY, OK 73116-7907
(405) 418-3865
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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