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Individual

KIMBERLY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-A

Contact information

Practice address
10200 CORRALES RD NW, STE E5A, ALBUQUERQUE, NM 87114-4532
(505) 890-0003
Mailing address
10200 CORRALES RD NW, STE E5A, ALBUQUERQUE, NM 87114-4532
(505) 890-0003

Taxonomy

Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
3598
NM

Other

Enumeration date
05/24/2005
Last updated
04/30/2008
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