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Individual
ELICIA R. MILLER
Active
Individual
ELICIA R. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200941401RN
OR
163WC1500X
Community Health Registered Nurse
558901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200941401RN
OREGON STATE BOARD OF NURSING
OR
Enumeration date
03/31/2008
Last updated
06/09/2011
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