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Individual

MISS JENNIFER GAYLE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, ATC, LAT

Contact information

Practice address
2201 KIMBALL AVE, KANSAS STATE UNIVERSITY - SPORTS MEDICINE, MANHATTAN, KS 66502-3314
(785) 410-7192
Mailing address
2113 CASEMENT RD, MANHATTAN, KS 66502-4720
(785) 532-1156

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-
OH

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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