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Individual

MISS SALLY ANN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, LAT, ATC

Contact information

Practice address
1921 W 24TH AVENUE, APT 6A, EMPORIA, KS 66801-9400
(304) 282-3606
Mailing address
1921 W 24TH AVE, APT 6A, EMPORIA, KS 66801-5740
(304) 282-3606

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00999
KS

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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