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Individual

ROBERT MILTON PHELPS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2252 ENCORE DR, DAYTON, OH 45424-5112
(937) 725-2682
Mailing address
2252 ENCORE DR, DAYTON, OH 45424-5112
(937) 725-2682

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0868422
OH
Enumeration date
01/30/2018
Last updated
01/30/2018
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