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Individual
MR. CARLOS ANTONIO MILLER
Active
Individual
MR. CARLOS ANTONIO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
629863-1
NY
Other
Enumeration date
06/02/2016
Last updated
06/03/2016
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